Surgical Remedy of Thoracolumbar Segmental Spinal Dysgenesis: Optimum Kind of Fusion.
World Neurosurg. 2017 Oct;106:551-556
Authors: Pavlova OM, Ryabykh SO, Kozyrev DA, Gubin AV
OBJECTIVES: We sought to guage long-term outcomes of surgical remedy of thoracolumbar segmental spinal dysgenesis (SSD).
METHODS: We analyzed Eight sufferers with thoracolumbar SSD handled in our establishment. Every case was evaluated for particular medical and radiologic standards and kinds and outcomes of remedy.
RESULT: The common age of major surgical procedure was three.four years (median three.four years, vary 1.7-7 years). The common correction of kyphosis was 49.three° (imply 45°, from 25°-75°) and scoliosis 10.6° (imply 10°, from zero°-25°). Common follow-up time was three.2 years (imply 2.6 years, from 1.Eight-5.6 years). Neurologic enchancment was additionally achieved in all sufferers. The Japanese Orthopaedic Affiliation scale rating (Benzel’s modification) was elevated by 2.5 factors on common (imply 2.5 factors, from 2-5 factors). One affected person had problems: pseudarthrosis and rod fracture adopted by refusion.
CONCLUSIONS: Our remedy technique gives favorable deformity correction and neurologic enchancment. It’s restricted by immature vertebral buildings in newborns and infants, who ought to be rigorously monitored from start with braces till they attain the age when a fixing device can be utilized.
PMID: 28712900 [PubMed – indexed for MEDLINE]