scholarly journals Surgical treatment of gross posttraumatic deformations in thoracic spine

2017 ◽  
Vol 5 (3) ◽  
pp. 80-86
Author(s):  
Aleksei E. Shul’ga ◽  
Vladimir V. Zaretskov ◽  
Galina A. Korshunova ◽  
Aleksei A. Smol'kin ◽  
Dmitrii Yu. Sumin
Keyword(s):  
Surgical Treatment ◽  
Thoracic Spine ◽  
Deformity Correction ◽  
High Energy ◽  
Fracture Dislocation ◽  
Spine Deformity ◽  
Surgical Trauma ◽  
Spine Stabilization ◽  
Spine Deformities ◽  
Post Traumatic

Rigid severe post-traumatic thoracic spine deformities result from frequent, recent high-energy trauma in children with an increasing frequency due to a variety of reasons. These types of injuries are commonly followed by spinal cord anatomic injury; therefore, the treatment of these patients warrants special attention from the ethical viewpoint. Generally, the only indication for surgical intervention is spinal dysfunction. Considering this and the patients’ ordinary severe somatic state, surgical trauma should be minimized as much as possible. However, for adequate deformity correction, effective spine stabilization and restoration of liquorodynamics is necessary. Recent studies have reported the successful use of different methods of dorsal interventions (P/VCR) in cases with unstable damages in children. Here, we present the case of a 15-year-old boy who underwent surgical treatment for coarse post-traumatic thoracic spine deformity with chronic fracture-dislocation of Th7 vertebra.

scholarly journals Orthopedic Management of Patients with Pompe Disease: A Retrospective Case Series of 8 Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Gerrit Haaker ◽  
Jürgen Forst ◽  
Raimund Forst ◽  
Albert Fujak
Keyword(s):  
Surgical Treatment ◽  
Pompe Disease ◽  
Neuromuscular Disorders ◽  
Young Patients ◽  
Case Series ◽  
Deformity Correction ◽  
Lysosomal Storage ◽  
Retrospective Case ◽  
Enzyme Replacement ◽  
Spine Stabilization

Introduction.Pompe disease (PD), a lysosomal storage disease as well as a neuromuscular disorder, is a rare disease marked by progressive muscle weakness. Enzyme replacement therapy (ERT) in recent years allowed longer survival but brought new problems to the treatment of PD with increasing affection of the musculoskeletal system, particularly with a significantly higher prevalence of scoliosis. The present paper deals with the orthopedic problems in patients with PD and is the first to describe surgical treatment of scoliosis in PD patients.Patients and Methods.The orthopedic problems and treatment of eight patients with PD from orthopedic consultation for neuromuscular disorders are retrospectively presented. We analyzed the problems of scoliosis, hip dysplasia, feet deformities, and contractures and presented the orthopedic treatment options.Results.Six of our eight PD patients had scoliosis and two young patients were treated by operative spine stabilization with benefits for posture and sitting ability. Hip joint surgery, operative contracture release, and feet deformity correction were performed with benefits for independent activity.Conclusion.Orthopedic management gains importance due to extended survival and musculoskeletal involvement under ERT. Surgical treatment is indicated in distinct cases. Further investigation is required to evidence the effect of surgical spine stabilization in PD.

CONGENITAL THORACOLUMBAR SPINE DEFORMITIES

Neurosurgery ◽  
2008 ◽  
Vol 63 (suppl_3) ◽  
pp. A78-A85 ◽  
Author(s):  
Hamidreza Aliabadi ◽  
Gerald Grant
Keyword(s):  
Surgical Treatment ◽  
Spinal Deformity ◽  
Congenital Anomalies ◽  
Thoracolumbar Spine ◽  
Deformity Correction ◽  
Spinal Deformities ◽  
Spine Deformities ◽  
Frequent Reason

ABSTRACT CONGENITAL THORACOLUMBAR SPINAL deformities are a common and frequent reason for referral to spine surgeons. Neurosurgeons also treat many neurological diagnoses which may result in a progressive spinal deformity, such as scoliosis. Here we review a variety of congenital anomalies and address the maldevelopments associated with each, as well as the appropriate evaluation of such patients including nonoperative and operative approaches. Advances in the field of spinal deformity correction now allow us to better treat individuals with these types of deformities. It is important for the practicing neurosurgeon to be knowledgeable of surgical and nonsurgical treatments of patients with congenital thoracolumbar spinal deformities in order to better understand which patients will ultimately progress and necessitate surgical treatment.

scholarly journals SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL THORACIC SPINE DEFORMITY ASSOCIATED WITH VERTEBRAL MALFORMATION

2013 ◽  
pp. 32-37 ◽  
Author(s):  
Sergey Vissarionov ◽  
◽  
Kirill Kartavenko ◽  
Dmitry Kokushin ◽  
Andrey Efremov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Thoracic Spine ◽  
Spine Deformity ◽  
Vertebral Malformation

scholarly journals Auto Preservation and Use of Auto Rib at Two-Step Surgical Treatment of Spine Deformities

2016 ◽  
pp. 28-32
Author(s):  
S. V. Kolesov ◽  
M. L. Sazhnev ◽  
A. A. Snetkov ◽  
A. I. Kaz’Min
Keyword(s):  
Spinal Deformity ◽  
Deformity Correction ◽  
Spine Deformity ◽  
Fatty Tissue ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Spine Deformities ◽  
Subcutaneous Fatty Tissue ◽  
Preservation Technique

The possibility of preservation and use of a resected rib for dorsal fusion at final correction of spinal deformity was studied. Treatment results for 80 patients aged 15 to 45 years, with severe spine deformity (scoliosis or kyphoscoliosis) were analyzed. In all patients two step surgical interventions was performed. Either transpedicular or hybrid (screws and sublaminar cerclage) fixation of the vertebral column were performed in 37 and 43 cases, respectively. After ventral release the resected ribs were stitched to subcutaneous fatty tissue and preserved until the time of final dorsal correction. The follow-up period made up 1 - 2 years. Fusion formation and autograft reconstruction was confirmed by radiologic methods. It was shown that rib auto preservation technique was a simple one, did not require special preservation conditions and allowed to preserve sufficient volume of autograft for final spinal deformity correction.

Correction of Spine Pathology in Patients with Meningocele

2013 ◽  
Vol 20 (1) ◽  
pp. 46-52
Author(s):  
S. V Kolesov ◽  
A. N Baklanov ◽  
I. A Shavyrin
Keyword(s):  
Surgical Treatment ◽  
Life Quality ◽  
Deformity Correction ◽  
Vertebral Column Resection ◽  
Scoliotic Deformity ◽  
Average Curvature ◽  
Spine Instrumentation ◽  
Spine Deformities ◽  
Spine Pathology ◽  
Trunk Balance

Treatment results for 8 patients aged 3 to 17 years with neuromuscular spine deformities on the background of meningocele are presented. In all patients spine deformities were accompanied by spinal dysraphias. Average curvature arch was 86°. Surgical treatment was performed either in one (5patients) or in two (3 patients) steps. In 2 patients vertebral column resection (VCR) was performed. Average achieved scoliotic deformity correction made up62% and postoperative value of thoracic/thoracolumbar kyphosis approximated the physiologic one (40°). Surgical treatment of kyphoscoliosis on the background of meningocele that consisted of extensive spine instrumentation with pelvis fixation favoured the normalization of trunk balance, improved cardiopulmonary function, patients’ appearance and life quality. In this group of patients surgical intervention is associated with high intraoperative risk and rate of postoperative complications.

scholarly journals Auto Preservation and Use of Auto Rib at Two-Step Surgical Treatment of Spine Deformities

2016 ◽  
Vol 23 (3) ◽  
pp. 28-32
Author(s):  
S. V Kolesov ◽  
M. L Sazhnev ◽  
A. A Snetkov ◽  
A. I Kaz’min
Keyword(s):  
Spinal Deformity ◽  
Deformity Correction ◽  
Spine Deformity ◽  
Fatty Tissue ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Spine Deformities ◽  
Subcutaneous Fatty Tissue ◽  
Preservation Technique

The possibility of preservation and use of a resected rib for dorsal fusion at final correction of spinal deformity was studied. Treatment results for 80 patients aged 15 to 45 years, with severe spine deformity (scoliosis or kyphoscoliosis) were analyzed. In all patients two step surgical interventions was performed. Either transpedicular or hybrid (screws and sublaminar cerclage) fixation of the vertebral column were performed in 37 and 43 cases, respectively. After ventral release the resected ribs were stitched to subcutaneous fatty tissue and preserved until the time of final dorsal correction. The follow-up period made up 1 - 2 years. Fusion formation and autograft reconstruction was confirmed by radiologic methods. It was shown that rib auto preservation technique was a simple one, did not require special preservation conditions and allowed to preserve sufficient volume of autograft for final spinal deformity correction.

scholarly journals THE POSSIBILITIES OF EXTERNAL TRANSPEDICULAR FIXATOR IN SPINE DEFORMITY CORRECTION

2005 ◽  
pp. 020-024
Author(s):  
Aleksandr Timofeyevich Khudyaev ◽  
Oksana Germanovna Prudnikova ◽  
Ivanna Aleksandrovna Mescheriagina ◽  
Yulia Antonocna Mushtaeva
Keyword(s):  
Neurological Disorders ◽  
Deformity Correction ◽  
Spine Deformity ◽  
Spine Biomechanics ◽  
Treatment Results ◽  
Deformation Degree ◽  
Clinical Control ◽  
Spine Deformities ◽  
Short Time ◽  
Deformation Correction

Objective. To define the most effective assemblies of external transpedicular fixator for correction of kyphotic and scoliotic deformities of the spine. Material and Methods. Treatment results in 108 adolescents with different kinds of III–IV degree scoliosis and kyphosis were studied. The spine deformation degree was assessed in accordance with V.D. Chaklin’ classification. Neurological examination have shown the absence of major neurological disorders. Deformation correction was performed with device consisting of transpedicular rods which were fixed to anchorage plates and coupled into support bases. Results. The application of the fixator with additional lateral traction is optimal to correct C-shaped scoliosis and the frame with damping device allows correcting the curvatures of S-shaped deformities within a short time, in some cases even hypercorrection can be achieved. The application of additional fixing rod is fruitful in kyphosis correction. Conclusion. The application of the external transpedicular fixator under radiological and clinical control allows the correction of various spine deformities without neurological deficit with the account of spine biomechanics.

scholarly journals COSTAL HUMPBACK RESECTION AS A FINAL STAGE OF IDIOPATHIC SCOLIOSIS SURGICAL TREATMENT

2006 ◽  
pp. 022-028
Author(s):  
Elena Vladimirovna Gubina ◽  
Mikhail Vitalyevich Mikhailovsky ◽  
Vladimir Nikolayevich Sarnadsky
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Vital Capacity ◽  
Deformity Correction ◽  
Spine Deformity ◽  
Curve Correction ◽  
Correction Loss ◽  
Group I ◽  
Curve Magnitude ◽  
Group Ii

Objective. To analyse results of multistage surgical treatment of idiopathic scoliosis including costal humpback resection. Material and Methods. From 1996 to 2005 twenty girls with idiopathic scoliosis underwent spine deformity correction with Harrington distraction rod with Drummond interspinous wires (Group I) or with Cotrel – Dubousset Horizon Instrumentation (Group II). The final long-dated stage after correction of deformity included the costal humpback resection at the convex side only. Radiologic and topographic examinations were performed, and lung vital capacity parameter was used for lung function assessment. Patients answered the Russian version of SRS-24 questionnaire after correction and at each follow-up examination. Results. In Group I the mean curvature was 81.7° ± 26.7° (range, 55–107°) before correction and 34.5° ± 13.1° after correction (primary curve correction 57.8 ± 14.1 %). Mean correction loss in dynamics before resection was 8°, after resection 4.3°. In Group II the primary curve magnitude before correction was 87.4° ± 27.1° (range, 48–126°), after correction 42.7° ± 16.9° (primary curve correction 51.9 ± 9.6 %). Average correction loss in dynamics before resection was 3.5°, after resection 2.4°. Spirometric findings presented the following dynamics: lung vital capacity before resection was 1980 ml with mean early postoperative decrease by 16.8 % and subsequent reversion to the preoperative level or increase to 2010 ml. According to the questionnaire survey 100 patients gave the consent for surgery. Conclusion. Costal humpback resection as a cosmetic intervention improves the patient’s assessment of spine deformity surgical correction result.

scholarly journals Efficacy Assessment of One-Step Surgical Correction of Scoliotic Spine Deformity Using Cotrel-Dubousset Instrumentation

2004 ◽  
Vol 11 (4) ◽  
pp. 58-67 ◽  
Author(s):  
S T Vetrile ◽  
A A Kisel' ◽  
A A Kuleshov ◽  
S T Vetrile ◽  
A A Kisel' ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Deformity Correction ◽  
Treatment Quality ◽  
Spine Deformity ◽  
Score System ◽  
Scoliotic Deformity ◽  
Spine Mobility ◽  
Efficacy Assessment ◽  
One Step ◽  
Spine Fixation

In 50 patients with dysplastic scoliosis (mobile deformity of III-IV degree) that underwent dorsal correction and spine fixation using Cotrel-Dubousset the mean postoperative correction of primary arch was equal 59.8%. Instrumental correction exceeded natural spine mobility average by 1.5 times. No significant segmental vertebrae derotation after surgical treatment was obtained. Postoperatively correct anatomic correlations of body and disk height on convex and concave deformity sides were restored. In further it was the determinant factor in preserving of achieved correction. The score system for the assessment of surgical scoliotic deformity correction was suggested. It allows presenting complex standardized characteristic of surgical treatment quality.

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