[Indications for and results of the CD procedure (Cotrel Dubousset) in surgical scoliosis therapy].

At the orthopaedic University Hospitals of Mainz and Münster more than 200 patients were treated surgically according Cotrel and Dubousset procedure. By means of this operation average corrections of the curves of 50.7% to 56.7% could be reached in the first 150 patients, depending of the localisation of the curve. Operative procedure, duration of operation and blood loss are adequate to known procedures. Pre- and postoperative CT's in 24 patients with idiopathic scolioses showed a mean correction of the rotation angle in the apex vertebra of 28.5% in relation to the anterior midline of the body and of 23.8% in relation to the sagittal plane. The best corrections could be observed in lumbar curves and in the lumbar curves of double major scoliosis. A postoperative therapy with cast or braces is not necessary.