Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele
Abstract Background The aim of this study was to present clinical and radiological results of myelomeningocele (MMC) patients treated with the sliding growing rod (SGR) technique after kyphectomy. Methods Between 2016 and 2019, 30 patients (21 males and nine females) who underwent the SGR technique...
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-020-02099-2 |
| _version_ | 1797999298947842048 |
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| author | Çağrı Özcan Ömer Polat İbrahim Alataş Savaş Çamur Necdet Sağlam Bekir Yavuz Uçar |
| author_facet | Çağrı Özcan Ömer Polat İbrahim Alataş Savaş Çamur Necdet Sağlam Bekir Yavuz Uçar |
| author_sort | Çağrı Özcan |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to present clinical and radiological results of myelomeningocele (MMC) patients treated with the sliding growing rod (SGR) technique after kyphectomy. Methods Between 2016 and 2019, 30 patients (21 males and nine females) who underwent the SGR technique with kyphectomy and posterior instrumentation due to MMC were retrospectively reviewed. Patients’ pre- and postoperative kyphosis, scoliosis, correction rates, bleeding during surgery, blood supply during and after surgery, operation time, instrumentation levels, number of vertebrae removed, MMC onset levels, hospital stay, annual lengthening amounts, and complications were evaluated. Results The mean patient age was 6.9 (4–10) years. Mean preoperative kyphosis was 115° (87–166°), mean early postoperative kyphosis was 3.9° (20–10°), and final follow-up postoperative kyphosis was 5.1° (22–8°). In nine patients presenting with scoliosis, scoliosis was evaluated as 60.2° (115–35°) preoperative, as 12.9° (32–0°) early postoperative, and 15.7° (34–0°) in the final measurement. The kyphotic deformity correction rate was 96.5%, and the scoliotic deformity correction rate was 74.9%. A statistically significant difference was seen between pre- and early postoperative values in kyphosis and scoliosis measurements (p < 0.05). The annual prolongation of the patients was calculated as averages of 0.72 and 0.77 cm/year between T1–T12 and T1–S1, respectively. Conclusion Kyphectomy performed during the early MMC period patients appears to be an excellent method for facilitating rehabilitation and daily care of these patients. It appears that the SGR technique, which provides lung volume protection and lengthening with kyphectomy, is a safe and reliable method in patients. Level of evidence Level 4 |
| first_indexed | 2024-04-11T11:02:27Z |
| format | Article |
| id | doaj.art-ea0434a860634fe3ad6d3c628c5f5701 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:02:27Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-ea0434a860634fe3ad6d3c628c5f57012022-12-22T04:28:32ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-12-011511810.1186/s13018-020-02099-2Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningoceleÇağrı Özcan0Ömer Polat1İbrahim Alataş2Savaş Çamur3Necdet Sağlam4Bekir Yavuz Uçar5University of Health Sciences, Umraniye Education and Research Hospital Department of Orthopaedics and TraumatologyUniversity of Health Sciences, Umraniye Education and Research Hospital Department of Orthopaedics and TraumatologyBilim University Sisli, Florance Nightingale Hospital Department of NeurosurgeryUniversity of Health Sciences, Umraniye Education and Research Hospital Department of Orthopaedics and TraumatologyUniversity of Health Sciences, Umraniye Education and Research Hospital Department of Orthopaedics and TraumatologyUniversity of Health Sciences, Umraniye Education and Research Hospital Department of Orthopaedics and TraumatologyAbstract Background The aim of this study was to present clinical and radiological results of myelomeningocele (MMC) patients treated with the sliding growing rod (SGR) technique after kyphectomy. Methods Between 2016 and 2019, 30 patients (21 males and nine females) who underwent the SGR technique with kyphectomy and posterior instrumentation due to MMC were retrospectively reviewed. Patients’ pre- and postoperative kyphosis, scoliosis, correction rates, bleeding during surgery, blood supply during and after surgery, operation time, instrumentation levels, number of vertebrae removed, MMC onset levels, hospital stay, annual lengthening amounts, and complications were evaluated. Results The mean patient age was 6.9 (4–10) years. Mean preoperative kyphosis was 115° (87–166°), mean early postoperative kyphosis was 3.9° (20–10°), and final follow-up postoperative kyphosis was 5.1° (22–8°). In nine patients presenting with scoliosis, scoliosis was evaluated as 60.2° (115–35°) preoperative, as 12.9° (32–0°) early postoperative, and 15.7° (34–0°) in the final measurement. The kyphotic deformity correction rate was 96.5%, and the scoliotic deformity correction rate was 74.9%. A statistically significant difference was seen between pre- and early postoperative values in kyphosis and scoliosis measurements (p < 0.05). The annual prolongation of the patients was calculated as averages of 0.72 and 0.77 cm/year between T1–T12 and T1–S1, respectively. Conclusion Kyphectomy performed during the early MMC period patients appears to be an excellent method for facilitating rehabilitation and daily care of these patients. It appears that the SGR technique, which provides lung volume protection and lengthening with kyphectomy, is a safe and reliable method in patients. Level of evidence Level 4https://doi.org/10.1186/s13018-020-02099-2MyelomeningoceleKyphectomySliding growing rodKyphosis |
| spellingShingle | Çağrı Özcan Ömer Polat İbrahim Alataş Savaş Çamur Necdet Sağlam Bekir Yavuz Uçar Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele Journal of Orthopaedic Surgery and Research Myelomeningocele Kyphectomy Sliding growing rod Kyphosis |
| title | Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| title_full | Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| title_fullStr | Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| title_full_unstemmed | Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| title_short | Clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| title_sort | clinical and radiological results of kyphectomy and sliding growing rod surgery technique performed in children with myelomeningocele |
| topic | Myelomeningocele Kyphectomy Sliding growing rod Kyphosis |
| url | https://doi.org/10.1186/s13018-020-02099-2 |
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