Anterior correction of angular kyphosis in children: description of the technique and analysis of clinical series
Objective. To describe the original technical surgical procedure simplifying the correction of kyphosis in children due to instrumental distraction of the anterior column of the spine, to analyze its effectiveness in the setting of clinical series. Level of evidence – IV. Material and Methods. The...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2018-12-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1511/1495 |
| Summary: | Objective. To describe the original technical surgical procedure simplifying the correction of kyphosis in children due to instrumental distraction of the anterior column of the spine, to analyze its effectiveness in the setting of clinical series. Level of evidence – IV.
Material and Methods. The study included 9 patients aged 7 months to 14 years (median age: 4 years 8 months) with angular kyphosis (median magnitude 53°, min – 38°, max – 80°) associated with tuberculous (n = 4) and non-specific (n = 4) spondylitis and with a sequelae
of spinal cord injury (n = 1). Deformity correction was achieved using temporary instrumental interbody distraction followed by anterior
fusion with titanium mesh cage filled with autologous bone graft during a single-step two-stage reconstruction and stabilization surgery.
Results. The duration of surgery was 3 hours 2 min ± 44 min, the volume of blood loss – 190 ml ± 39 ml. In all cases, the deformity was
corrected by 75–85 % with restoration of physiological thoracic kyphosis and spinal profile.
Conclusion. A safe and effective technique for intraoperative anterior instrumental distraction can be used to correct angular kyphosis in
children, including infants. |
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| ISSN: | 1810-8997 2313-1497 |