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February 6, 1960

The Surgical Treatment of Scoliosis

JAMA. 1960;172(6):636. doi:10.1001/jama.1960.03020060126041

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The author of this monograph has reviewed the previous and current thought on the treatment of scoliosis, both conservative and surgical. The book is based on the result of the surgical treatment of 65 patients, all treated in essentially the same manner. The technique of applying a Risser turnbuckle cast is described in sufficient detail to enable any orthopedist to apply a creditable cast. The surgical fusion is performed through a window in the cast, a technique which is being abandoned in many orthopedic centers as unnecessary and dangerous. The use of sharp gouges with hand pressure only is a point of technique that needs emphasizing, as it certainly minimizes surgical shock. The author, who has performed all of these spine fusions, is to be commended because only 13% of them resulted in pseudarthrosis. This points up the fact that a good fusion technique, adhering to proved principals, should yield

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