• Zoltán Csernátony, László Kiss, Sándor Manó, and Zsolt Hunya.
• Department of Orthopaedics, University of Debrecen Medical Health and Science Center, Nagyerdei Krt. 98, Debrecen, 4032, Hungary. csz@dote.hu
• Eur Spine J. 2013 Jun 1;22(6):1286-91.

PurposeIn our article, we would like to introduce a new auxiliary implant called the CAB hook, for use in posterior approach scoliosis surgery.MethodsSince 2007, we operated 42 patients with the CAB hook with an average preoperative Cobb angle of 59.3° (28°-92°). In three cases, the posterior approach was preceded by ventral release and Halo traction. In four cases, besides the CAB hooks, SCS hooks and pedicular screws, in three cases both CAB and SCS hooks, in nine cases CAB hooks with SCS pedicular screws, and in 23 cases, only CAB were used. The average follow-up time was 21.6 month (2-51).ResultsAll the patients are satisfied with the results. No reoperation was needed due to the loss of correction, pain, implant failure, or infection. The average postoperative Cobb angle decreased to 24.7° (4°-60°). Based on this we calculated the Cincinnati Correction Index (CCI), which was 1.53 (0.7-4.8), which means that our correction exceeded the flexibility of the spine based on the lateral bending X-ray by 53 %.ConclusionAs with all new surgical techniques and implants after the short learning curve, we were able to improve the degree of correction and decrease the time of surgery. One of the advantages of the CAB hook is that besides a few implant-specific instruments, no special instrumentation is required for insertion, and image intensifier need not be used.

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