Surgical Treatment of Congenital Kyphosis

2013 ◽  
Vol 20 (4) ◽  
pp. 34-40
Author(s):  
S. V Kolesov ◽  
A. A Snetkov ◽  
M. L Sazhnev ◽  
A. N Shaboldin
Keyword(s):  
Surgical Treatment ◽  
Vertebral Column ◽  
Thoracolumbar Spine ◽  
Surgical Techniques ◽  
Treatment Results ◽  
Vertebral Column Resection ◽  
Neurologic Disorders ◽  
Congenital Kyphosis ◽  
Spine Development ◽  
Spinal Cord Decompression

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.

scholarly journals Radical Dorsal Interventions in Treatment of Kyphotic Deformities (Literature Review)

2015 ◽  
Vol 22 (2) ◽  
pp. 66-75
Author(s):  
M. V Mikhailovskiy ◽  
V. V Novikov ◽  
I. G Udalov
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Vertebral Column ◽  
Surgical Techniques ◽  
Pedicle Subtraction Osteotomy ◽  
Treatment Results ◽  
Vertebral Column Resection ◽  
Surgical Interventions ◽  
Ponte Osteotomy ◽  
Spine Deformities

Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.

scholarly journals Surgical treatment of severe congenital kyphosis in an adult patient: rare clinical observation and a brief literature review

2018 ◽  
Vol 15 (4) ◽  
pp. 21-26
Author(s):  
V. V. Novikov ◽  
A. Yu. Sergunin ◽  
V. V. Belozerov ◽  
M. N. Lebedeva ◽  
A. S. Vasyura ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Adult Patient ◽  
Thoracolumbar Spine ◽  
Deformity Correction ◽  
Neurological Complications ◽  
The Body ◽  
Bone Block ◽  
Vertebral Column Resection ◽  
Congenital Kyphosis ◽  
Mesh Cage

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.

scholarly journals Radical Dorsal Interventions in Treatment of Kyphotic Deformities (Literature Review)

2015 ◽  
pp. 66-75 ◽  
Author(s):  
M. V. Mikhailovskiy ◽  
V. V. Novikov ◽  
I. G. Udalov
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Vertebral Column ◽  
Surgical Techniques ◽  
Pedicle Subtraction Osteotomy ◽  
Treatment Results ◽  
Vertebral Column Resection ◽  
Surgical Interventions ◽  
Ponte Osteotomy ◽  
Spine Deformities

Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.

VERTEBRAL COLUMN RESECTION FOR RIGID SPINAL DEFORMITY

Neurosurgery ◽  
2008 ◽  
Vol 63 (suppl_3) ◽  
pp. A177-A182 ◽  
Author(s):  
Justin S. Smith ◽  
Vincent Y. Wang ◽  
Christopher P. Ames
Keyword(s):  
Spinal Deformity ◽  
Vertebral Column ◽  
Surgical Techniques ◽  
Deformity Correction ◽  
Postoperative Management ◽  
Three Dimensions ◽  
Spinal Deformities ◽  
Vertebral Column Resection ◽  
Case Examples ◽  
Significant Correction

ABSTRACT OBJECTIVE Vertebral column resection (VCR) is a surgical technique that may be applied for correction of moderate to severe spinal deformities, including those with large rigid curves, fixed trunk translation, or asymmetry between the length of the convex and concave column of the deformity. This article reviews the VCR technique as it relates to correction of rigid spinal deformity, including case examples to illustrate its application. METHODS The literature was reviewed in reference to the use of VCR for correction of rigid spinal deformity. RESULTS VCR involves complete resection of one or more vertebral segments using either combined anterior and posterior approaches or a posterior-only approach and enables significant deformity correction in all three dimensions. Herein, we provide description of the indications, preoperative planning, surgical techniques, complication avoidance, postoperative management, and case examples for VCR. CONCLUSION VCR enables significant correction of rigid spinal deformities in cases in which less aggressive approaches are not adequate.

scholarly journals Surgical treatment of advanced congenital kyphoscoliosis: A case report

2018 ◽  
Vol 9 (3) ◽  
pp. 118-123
Author(s):  
Artem V. Kosulin ◽  
Dmitriy V. Elyakin ◽  
Nadezhda N. Dmitrieva ◽  
Alina D. Abzalieva ◽  
Aleksandra A. Blazhenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Option ◽  
Vertebral Column ◽  
Surgical Planning ◽  
Congenital Scoliosis ◽  
Correction Method ◽  
Neurologic Complication ◽  
Vertebral Column Resection ◽  
Scoliosis Correction ◽  
3D Printed

Clinical case of surgical treatment of advanced congenital kyphoscoliosis in 12 years old child is reported. Radiographs and CT at presentation failed to reveal the entire anomaly. By analysis of priorly made radiographs hemivertebra L1 was recognized. At genitourinary assessment L-shaped kidney was detected. A full-size 3D-printed model was used for surgical planning. Vertebral column resection as treatment option was discussed, but due to high neurologic complication rate this approach was refused. After preoperative 35 days halo-femoral traction anterior instrumented fusion was performed. Right ureter was stented for intraoperative urologic injury prevention. Scoliosis correction of 32% and kyphosis of 14% was achieved. 5 months later definitive posterior uninstrumented fusion was performed. Spinal deformities caused by vertebral malformations progress dramatically unless they are treated early. An advanced case is a clinical challenge because of technical difficulties and poor result. Vertebral column resection is a treatment option for severe kyphoscoliosis, but it’s indications should be strictly individualized. Preoperative halo-femoral traction is the most safe correction method in spinal deformity due to prolonged and gradual action. 3d-printed models are practical for surgical planning. The model may be used intraoperatively as a 3D-reference. In congenital scoliosis genitourinary system should be assessed meticulously, and urologist advice in relevant case is necessary.

Results of surgical treatment of aggressive hemangiomas of the treatmental spine by the method of punctive vertebroplasty

2021 ◽  
Vol 19 (3) ◽  
pp. 75-80
Author(s):  
Sh. Sh. SHATURSUNOV ◽  
◽  
S. A. MIRZAKHANOV ◽  
A. R. SATTAROV ◽  
A. O. KOBILOV ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Thoracolumbar Spine ◽  
Pain Syndrome ◽  
Average Score ◽  
Treatment Results ◽  
Antitumor Effects ◽  
X Ray ◽  
Mri Studies ◽  
Invasive Method

The purpose — to analyze the results of surgical treatment of patients with hemangiomas of the thoracolumbar spine by puncture vertebroplasty. Material and methods. Clinical data and results of surgical treatment of 124 patients operated on in 2014-2020 were analyzed. Preoperative examinations included clinical studies, WAS, Oswestry, X-ray, MSCT, and MRI. MSCT and MRI studies were carried out for diagnosis and to study the treatment results. Single hemangiomas were present in 63 (50,8%) patients, 44 (35,4%) patients had hemangiomas at two or more levels. In 17 (13,7%) patients, hemangiomas were present in both the thoracic and lumbar regions. Results. In 87,8% of cases, MSCT studies in the postoperative period showed filling the hemangioma cavity by more than 80%. Control MRI studies 6 months and a year after surgery in none of the cases revealed a continued growth of hemangioma. Pain syndrome according to WAS before surgery averaged 46/56 points, after 12 months — 15/20 points. According to the Oswestry questionnaire, the average score reduced from 32 to 6 points after 6 months. Conclusion. Puncture vertebroplasty with bone cement is an effective, safe and minimally invasive method for treating hemangiomas of the thoracolumbar spine. The main goals of vertebroplasty are to restore the supporting ability of the affected vertebra, achieve analgesic and antitumor effects.

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