Related Articles |
Surgical remedy of sufferers with myelomeningocele-related backbone deformities: research of 26 circumstances.
Childs Nerv Syst. 2018 Jan 25;:
Authors: Canaz H, Alatas I, Canaz G, Gumussuyu G, Cacan MA, Saracoglu A, Ucar BY
Summary
INTRODUCTION: Scoliosis, kyphosis, and sacral agenesis (SA) are frequent backbone deformities in myelomeningocele (MMC) sufferers. Surgical procedure of backbone deformities in MMC sufferers is related to varied difficulties as an infection, pathological pores and skin breakage, instrumentation failure, and neurological deterioration. The needs of this research are to share our medical expertise and talk about completely different surgical methods that are outlined within the literature.
PATIENTS AND METHOD: We retrospectively evaluated our database of sufferers with MMC who underwent surgical procedures for backbone deformities from 2014 to 2016. Demographic and medical information, surgical parameters, surgical methods and ranges, pre- and postoperative deformity angles, stage of posterior fusion defect, spinal malformations, neurological analysis of decrease extremities and problems had been collated. We divided the circumstances into three teams based on the kind of deformities. The teams had been lumbar kyphosis (Group 1), congenital scoliosis (Group 2), and paralytic scoliosis (Group Three).
RESULTS: There have been 26 sufferers within the research. Fifteen sufferers had been male and 11 sufferers had been feminine. The median age of the sufferers was eight.03 (vary?=?Three-17 years) on the time of operation. There have been 10 sufferers in Group 1, 7 sufferers in Group 2, and 9 sufferers in Group Three. In Group 1, preoperative kyphosis angle various between 51° and 160°, with a mean of 95.7°. In Group 2, preoperative Cobb angle various between 57° and 150°, with a mean of 106.6°. Kyphosis was current in four sufferers. Preoperative kyphosis angle various between 74° and 140°, with a mean of 93°. In Group Three, preoperative Cobb angle various between 45° and 145°, with a mean of 72.5°.
CONCLUSION: Spinal deformity in youngsters with MMC has been thought-about to trigger extreme incapacity. Surgical remedy is a difficult process with a large spectrum of problems, however can present good correction of spinal deformity and pelvic obliquity, and enhance the standard of life. Self-growing techniques that are a brand new various to conventional rising rod techniques, have to be thought-about to protect rising potential of backbone.
PMID: 29372371 [PubMed – as supplied by publisher]