scholarly journals Surgical Treatment of Congenital Kyphosis Associated With Progressive Spastic Paralysis in an Adult Patient

2006 ◽  
Vol 46 (6) ◽  
pp. 313-317 ◽  
Author(s):  
Hiroshi NOMURA ◽  
Kazumasa TERADA ◽  
Nobuo KOBARA ◽  
Kiyoshi MIYAZAKI ◽  
Michitaka YUASA ◽  
...  
2018 ◽  
Vol 15 (4) ◽  
pp. 21-26
Author(s):  
V. V. Novikov ◽  
A. Yu. Sergunin ◽  
V. V. Belozerov ◽  
M. N. Lebedeva ◽  
A. S. Vasyura ◽  
...  

The paper presents a clinical case of surgical treatment of an adult patient with severe rigid congenital kyphosis developed due to multiple anomalies in the thoracolumbar spine. Surgical intervention included vertebral column resection (VCR) and the deformity correction using segmental third-generation instrumentation with transpedicular fixation. The VCR made it possible to correct the relationship between vertebrae in the anomaly zone, to improve the shape of the spinal canal and increase its volume, and to achieve apparent mobility of the spine at the apex of the kyphosis. Preservation of the anterosuperior portion of the body of the resected vertebra allowed avoiding anterior mesh cage use to support and reconstruct the anterior supporting column of the resected segment. This enabled performing necessary correction of severe kyphotic deformity, reduced the risk of neurological complications, and favored the formation of solid bone block in the long-term period after surgery.


1995 ◽  
Vol 20 (3) ◽  
pp. 428-431 ◽  
Author(s):  
Harilaos T. Sakellarides ◽  
Mohinder A. Mital ◽  
Richard A. Matza ◽  
Panagiotis Dimakopoulos

2016 ◽  
pp. 20-26
Author(s):  
Mikhail Mikhailovsky ◽  
◽  
Vyacheslav Novikov ◽  
Aleksandr Vasyura ◽  
Inga Udalova ◽  
...  

2010 ◽  
Vol 25 (6) ◽  
pp. 656-658 ◽  
Author(s):  
Javier Gualis ◽  
Mario Castaño ◽  
Jesús Gómez-Plana ◽  
Carlos Martín ◽  
David Alonso

1992 ◽  
Vol 27 (4) ◽  
pp. 857
Author(s):  
Se Il Suk ◽  
Choon Ki Lee ◽  
Ahmet Sarlak ◽  
Ji Ho Lee ◽  
Chul Won Ha

2019 ◽  
Vol 30 (4) ◽  
pp. e352-e353
Author(s):  
Murat Ozturk ◽  
Sadan Yavuz ◽  
Kasim Durmus ◽  
Fidan Rahimli

2013 ◽  
Vol 20 (4) ◽  
pp. 34-40
Author(s):  
S. V Kolesov ◽  
A. A Snetkov ◽  
M. L Sazhnev ◽  
A. N Shaboldin

Surgical treatment results of 24 patients, aged 3 — 57 years, with congenital kyphotic deformities of thoracolumbar spine are presented. Disturbance of vertebrae formation was diagnosed in 13 patients, segmentation disorder — in 4, mixed abnormalities — in 1, nonclassifying abnormalities — in 3, congenital dislocations (subluxation) — in 3 patients. Neurologic disorders were observed in 12 patients. Five surgical techniques were used for the treatment of congenital kyphotic deformities: posterior fusion (8 patients), combined dorsal and ventral fixation (6), spinal cord decompression in combination with correction and stabilization (4), resection of hemivertebra (3), VCR (Vertebral Column Resection — 4). After surgical correction the angle of kyphotic deformity made up from 7 to 68° (mean 42°), degree of correction from 6 to 84% (mean 34%). Differentiated use of surgical techniques enables to achieve good treatment results, formation of proper frontal and sagittal balance as well as to create conditions for an adequate spine development.


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