Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review
The paper presents a review of 28 domestic and foreign publications with the level of evidence of not less than 2 reporting the treatment results in children with congenital monosegmental anomalies of the spine over the past 15 years. A total of 657 clinical cases were analyzed, including 593 li...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/164/304 |
| _version_ | 1827847779690479616 |
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| author | Sergey O. Ryabykh Egor Yu. Filatov Dmitry M. Savin |
| author_facet | Sergey O. Ryabykh Egor Yu. Filatov Dmitry M. Savin |
| author_sort | Sergey O. Ryabykh |
| collection | DOAJ |
| description | The paper presents a review of 28 domestic and foreign publications with the level of evidence of not less than 2 reporting the treatment
results in children with congenital monosegmental anomalies of the spine over the past 15 years. A total of 657 clinical cases were analyzed,
including 593 literature cases and 64 cases from authors’ experience. Results of hemivertebra treatment in children using combined
approach, extended posterior approach and local posterior approach with transpedicular excision of hemivertebra were analyzed. The
following criteria were used for analysis: patient’s age at the time of treatment, magnitude of the local (segmental) curvature before and
after surgery, percentage of correction, blood loss volume, duration of surgery, type and length of fixation, and nature and structure of
complications. The advantages of transpedicular excision of abnormal vertebra through posterior approach were noted in terms of surgery
duration, intraoperative blood loss, risk of neurological complications after comparable correction of deformity, and time required for patient
activation and rehabilitation as compared with combined approach, as well as in terms of blood loss volume and correction of kyphotic
component as compared with extended posterior approach. |
| first_indexed | 2024-03-12T09:35:16Z |
| format | Article |
| id | doaj.art-9187afaaee734771b0973c619469ea41 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T09:35:16Z |
| publishDate | 2017-03-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-9187afaaee734771b0973c619469ea412023-09-02T13:42:05ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972017-03-01141142310.14531/ss2017.1.14-23Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic reviewSergey O. Ryabykh0Egor Yu. Filatov1Dmitry M. Savin2Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaThe paper presents a review of 28 domestic and foreign publications with the level of evidence of not less than 2 reporting the treatment results in children with congenital monosegmental anomalies of the spine over the past 15 years. A total of 657 clinical cases were analyzed, including 593 literature cases and 64 cases from authors’ experience. Results of hemivertebra treatment in children using combined approach, extended posterior approach and local posterior approach with transpedicular excision of hemivertebra were analyzed. The following criteria were used for analysis: patient’s age at the time of treatment, magnitude of the local (segmental) curvature before and after surgery, percentage of correction, blood loss volume, duration of surgery, type and length of fixation, and nature and structure of complications. The advantages of transpedicular excision of abnormal vertebra through posterior approach were noted in terms of surgery duration, intraoperative blood loss, risk of neurological complications after comparable correction of deformity, and time required for patient activation and rehabilitation as compared with combined approach, as well as in terms of blood loss volume and correction of kyphotic component as compared with extended posterior approach.https://www.spinesurgery.ru/jour/article/view/164/304congenital scoliosiscongenital kyphosismonosegmental anomalies of the spinehemivertebraeposterior approachtranspedicular excisiondeformity correction |
| spellingShingle | Sergey O. Ryabykh Egor Yu. Filatov Dmitry M. Savin Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review Хирургия позвоночника congenital scoliosis congenital kyphosis monosegmental anomalies of the spine hemivertebrae posterior approach transpedicular excision deformity correction |
| title | Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review |
| title_full | Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review |
| title_fullStr | Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review |
| title_full_unstemmed | Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review |
| title_short | Results of hemivertebra excision through combined, posterior and transpedicular approaches: systematic review |
| title_sort | results of hemivertebra excision through combined posterior and transpedicular approaches systematic review |
| topic | congenital scoliosis congenital kyphosis monosegmental anomalies of the spine hemivertebrae posterior approach transpedicular excision deformity correction |
| url | https://www.spinesurgery.ru/jour/article/view/164/304 |
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