Variants of Spine Deformity Correction in Children with Idiopathic Scoliosis of Thoracic Localization

2012 ◽  
Vol 19 (3) ◽  
pp. 9-13
Author(s):  
S. V Vissarionov ◽  
D. N Kokushin ◽  
A. P Drozdetsky ◽  
S. M Belyanchikov
Keyword(s):  
Deformity Correction ◽  
Frontal Plane ◽  
Spine Deformity ◽  
3D Ct ◽  
Treatment Results ◽  
Dorsal Approach ◽  
Apical Vertebra ◽  
Vertebral Bone ◽  
Bone Structures ◽  
Main Arch

Treatment results for 24 patients (21 girls and 3 boys), aged 14—17 years, with idiopathic thoracic scoliosis are presented. In all cases right-side type of deformity was observed. The main arch of curvature ranged from 52° to 92° by Cobb. The operation was performed from dorsal approach with application of metallic devices with transpedicular supporting elements using 3D-CT navigation. Depending on anatomical and anthropometric peculiarities of vertebral bone structures within the curvature arch, two variants of surgical correction were applied. Correction of the first type was performed in 18 patients; second type of correction was applied in 6 children. Second type of deformity correction differed from the first one by the sequence of rods implantation relative to the sides of main arch and corrective maneuvers at deformity correction. In the first group postoperative deformity correction in frontal plane made up 92—99%, derotation correction of the apical vertebra from 72 to 94% versus 91—100% and from 11,4 to 29,4% in the second group.

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.

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 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.

Spine deformity index in osteoporotic women: Relations to forearm and vertebral bone mineral measurements and to iliac crest ash density

1994 ◽  
Vol 4 (4) ◽  
pp. 211-219 ◽  
Author(s):  
C. H. Søgaard1 ◽  
A. P. Hermann ◽  
C. Hasling ◽  
Li. Mosekilde ◽  
Le. Mosekilde
Keyword(s):  
Bone Mineral ◽  
Iliac Crest ◽  
Spine Deformity ◽  
Vertebral Bone ◽  
Spine Deformity Index ◽  
Bone Mineral Measurements

Coupling Between Sagittal and Frontal Plane Deformity Correction in Idiopathic Thoracic Scoliosis and Its Relationship With Postoperative Sagittal Alignment

Spine ◽  
2010 ◽  
Vol 35 (11) ◽  
pp. 1158-1164 ◽  
Author(s):  
Keith D. K. Luk ◽  
Srinivasa Vidyadhara ◽  
D. S. Lu ◽  
Y. W. Wong ◽  
W. Y. Cheung ◽  
...  
Keyword(s):  
Sagittal Alignment ◽  
Deformity Correction ◽  
Frontal Plane ◽  
Thoracic Scoliosis ◽  
Plane Deformity

Spondylolisthesis: Sagittal Plane Lumbar Spine Deformity Correction

Spine Surgery ◽  
2005 ◽  
pp. 655-674
Author(s):  
Nevan G. Baldwin ◽  
Shunji Matsunaga ◽  
Bruce L. Ehni
Keyword(s):  
Lumbar Spine ◽  
Sagittal Plane ◽  
Deformity Correction ◽  
Spine Deformity

Arthroscopic Ankle Arthrodesis

2007 ◽  
Vol 28 (6) ◽  
pp. 695-706 ◽  
Author(s):  
Nikolaos E. Gougoulias ◽  
Filon G. Agathangelidis ◽  
Stephen W. Parsons
Keyword(s):  
Sagittal Plane ◽  
Deformity Correction ◽  
Frontal Plane ◽  
Ankle Arthrodesis ◽  
Valgus Deformity ◽  
Postoperative Treatment ◽  
Average Hospital ◽  
Superficial Wound ◽  
Group A ◽  
Group B

Background: Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. Methods: The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, were retrospectively evaluated. Forty-eight ankles had minor deformity (group A), whereas 30 ankles had a varus or valgus deformity of more than 15 degrees (maximum 45 degrees) (group B). The average hospital stay was 3.8 and 3.4 days in groups A and B, respectively ( p = 0.74). Postoperative treatment included ankle immobilization for 3 months. Progressive weightbearing was initiated at 2 weeks. Mean followup was 21.1 months. Results: Fusion occurred in 47 of 48 (97.9%) ankles in group A at an average time of 13.1 ± 5.8 weeks and in 29 of 30 (96.7%) ankles at 11.6 ± 2.4 weeks in group B ( p = 0.19). Unplanned operative procedures were required in 11 ankles (14.1%). One superficial wound infection occurred. Symptomatic arthritis from the adjacent joints developed in six ankles (7.7%). Postoperative ankle alignment in the frontal plane averaged 0.7 and 0.4 degrees of valgus ( p = 0.41), whereas the sagittal plane angle averaged 106 ± 4 degrees and 104.5 ± 7 degrees in groups A and B, respectively ( p = 0.22). The outcome was graded as very good in 79.2% (38 feet) in group A and 80% (24 feet) in group B, fair in 18.8% (9 feet) in group A and 16.7% (5 feet) in group B and poor in one ankle in each group ( p = 0.68). Conclusions: The arthroscopic technique offered high fusion rates and low morbidity. Deformity correction was achieved with good results.

Registration of 3D CT and Ultrasound Datasets of the Spine using Bone Structures

2002 ◽  
Vol 7 (3) ◽  
pp. 146-155 ◽  
Author(s):  
B. Brendel ◽  
S. Winter A. Rick ◽  
M. Stockheim ◽  
H. Ermert
Keyword(s):  
3D Ct ◽  
Bone Structures

scholarly journals Surgical treatment of kyphosis in children with scheuermann’s diseaseusing 3D-CT navigation

2015 ◽  
Vol 3 (1) ◽  
pp. 5-14
Author(s):  
Sergei Valentinovich Vissarionov ◽  
Dmitriy Nikolaevich Kokushin ◽  
Sergei Mikhailovich Belyanchikov ◽  
Vladislav Valerievich Murashko
Keyword(s):  
Surgical Treatment ◽  
Deformity Correction ◽  
Pedicle Screws ◽  
3D Ct ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Transpedicular Fixation ◽  
Long Term Follow Up

The purpose of the study is to describe features of the surgical technique for correction of kyphotic deformity of the spine and to analyze the results of surgical treatment of juvenile kyphosis in children with the use of 3D-CT navigation.— Materials and methods. We observed 11 patientsaged 14-17 years old (2 girls and 9 boys) with kyphoticdeformity of the spine, developed on the backgroundof Scheuermann’s disease. The deformity amount aver-aged 73,9° (60 to 90°). Surgery was performed fromthe combined access, carring out discapophysectomyand corporodesis on top of kyphosis and fixing mul-tibasic corrective metal construction. For the insertionof pedicle screws we used 3D-CT navigation.— The results. After surgery kyphosis value decreasedto 32,6° (20 to 45°), the deformity correction averaged41,3° (30 to 50°). Hybrid systems were placed in 5 pa-tients, total transpedicular fixation - in 6 children.Number of fixed vertebrae with hybrid metal construc-tions averaged 14 (13 to 15), in patients with total pediclefixation - 13 (12 to 14). In all cases we observed the correct position of pedicle support elements. Postopera- tive follow-up period was from 1 year and 5 months to5 years and 4 months, on average - 3 years 5 months. The loss of the result achieved in the long-term follow- up period was observed in patients with hybrid metal constructions and averaged 7,2° (4 to 9°).— Conclusion. The use of pedicle screws for thecorrection of juvenile kyphosis in children allows forthe effective correction of the deformity, restoring thephysiological profiles of the spine, eliminating post-operative progression of curvature, and reducing thelength of metal fixation and save the result achievedin the long-term follow-up. The use of active optical3D-CT navigation allows carring out a correct inser-tion of pedicle screws in the vertebral bodies in chil-dren with juvenile kyphosis.— Keywords: Scheuermann’s disease, juvenile ky-phosis, transpedicular fixation, navigation, children,surgical treatment.

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