scholarly journals Outcome of scoliotic deformity correction with Harrington distractor in adults

1996 ◽  
Vol 3 (1) ◽  
pp. 6-9
Author(s):  
I. Z. Neiman ◽  
N. N. Pavlenko ◽  
Yu. G. Sumin ◽  
A. Ye. Kriger
Keyword(s):  
Surgical Treatment ◽  
Deformity Correction ◽  
Pain Syndrome ◽  
Complete Loss ◽  
Surgical Correction ◽  
Long Term Results ◽  
Initial Value ◽  
Preoperative Pain ◽  
Scoliotic Deformity

The results of surgical treatment of 36 patients with scoliosis, aged 18-29, were presented. Correction by Harrington distractor and posterior spondylosyndesis with allografts was performed. The average deformity correction achieved made up 38,8% of the initial value. Long term results (from 2 to 9 years) were studied in 29 patients. In 2 patients, complete loss of the correction was noted. In the rest of patients, the final correction varied from 9,9 to 49%, average 25,7%, of the initial value. The less is the scoliosis degree and age of a patient, the better is outcome of surgical correction. The preoperative pain syndrome being present in 7 patients was eliminated after operation.

scholarly journals Long-term results after surgical treatment of subacromial pain syndrome with or without rotator cuff tear

2018 ◽  
Vol 15 (3) ◽  
pp. 757-760 ◽  
Author(s):  
Eivind Inderhaug ◽  
Maiken Kalsvik ◽  
Kristin H. Kollevold ◽  
Janne Hegna ◽  
Eirik Solheim
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Cuff Tear ◽  
Subacromial Pain Syndrome

scholarly journals Minimally invasive correction of asymmetric chest deformity in children

2021 ◽  
Vol 25 (1) ◽  
pp. 44-50
Author(s):  
A.A.I. El'nour ◽  
A. Yu. Razumovskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Chest Wall ◽  
Deformity Correction ◽  
Length Of Hospital Stay ◽  
Surgical Correction ◽  
Chest Wall Deformity ◽  
Rehabilitation Process ◽  
Chest Deformity

Purpose. To analyze literature data and to find out optimal techniques for surgical correction of asymmetrical chest wall deformity in children.Material and methods. The researchers studied data on surgical treatment of children with asymmetrical chest wall deformity who had thoracoplasty performed with well-known techniques developed by Bairov, Timoshchenko, Paltia, Ravitch, Kondrashin which included the resection of crooked cartilage and internal metal fixation with consideration of deformity shape, location and severity. For comparison, the authors analyzed the data on the minimally invasive Nuss technique and its modifications.Results. The researchers found that thoracoplasty by the Bairov method is less effective which gives the largest number of postoperative complications (16.5%) in the form of hemothorax, pneumothorax and hydrothorax what significantly increased the length of hospital stay and the following rehabilitation process. On the contrary, minimally invasive interventions were the most effective, if to compare with all applied techniques for chest wall deformity correction, having a low percentage of complications; though their drawback is long-term postoperative analgesia.Conclusion. At present, there is no any consensus on the top-priority technique for surgical correction of chest wall deformity in children. It necessitates further research in this direction as well as improvement of the existing techniques and development of new ones.

scholarly journals Outcome of surgical treatment by Harrington method different combinations in patients with scoliosis

1996 ◽  
Vol 3 (1) ◽  
pp. 3-6
Author(s):  
S. T. Vetrile ◽  
V. V. Shvets ◽  
A. A. Kuleshov
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Deformity Correction ◽  
Scoliotic Deformity ◽  
Period 2

Authors analysed the outcomes of surgical treatment in 108 patients with scoliosis. Depending on surgical technique the patients were divided into 4 groups. The base of surgical procedures was different combinations of Harrington distractor with Luque rod as well as with segmental angular resection at the deformity apex. The efficacy of segmental angular resection that enabled to mobilize the rigid scoliotic deformity and increase intraoperative correction was detected. The combination of that procedure with the deformity correction by Harrington distractor and lateral traction by Luque rod allowed to achieve more marked correction and to preserve it to a greater degree and for longer time (2 years after operation 67,8% of achieved correction was preserved). It was also shown that fixation of corrective spine by Harrington distractor only did not provide considerable preservation of primary achieved correction in long term postoperative period (2 years after operation 47,3% of the achieved correction was preserved).

scholarly journals SURGICAL TREATMENT OF III–IV GRADE SCOLIOSIS WITH PLATE ENDOCORRECTOR

2006 ◽  
pp. 033-038
Author(s):  
Ravil Rafailovich Gatiatulin ◽  
Valentina Spiridonovna Lapinskaya ◽  
Vladimir Nikolayevich Shubkin ◽  
Timofey Viktorovich Frolyakin ◽  
Aleksandr Erikovich Kovalenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Three Dimensional ◽  
Deformity Correction ◽  
Third Generation ◽  
The Third ◽  
Scoliotic Deformity ◽  
Long Term Follow Up ◽  
Plate Breakage

Objectives. To analyze the efficacy of surgery using the original plate endocorrectors for III–IV grade idiopathic progressing scoliosis. Materials and methods. Two-plate endocorrector was used in surgical treatment of 380 patients. Out of them 171 patients at the age of 13–15 years had vertebral body apophysis ossification of stage 2–3 according to Risser’s test. Scoliosis was congenital in 12 patients (3.2 %) and idiopathic in 368 patients (96.8 %). The smallest coronal angle of curve according to Cobb was 40°, the largest one – 145°. Surgery of severe IV grade scoliotic deformity (curve angle of 60–90°) was performed in 178 patients. Results. Patients with non-removable instrumentation show the maintenance of post-surgical correction within 75–80% in long-term follow-up period (up to 9 years). Complications related to the plate endocorrector were observed in 9.8 % of cases: aseptic serous reaction induced by instability of the construct elements – in 3.7 %, plate breakage and release of endocorrector locking – in 5.3 %. Conclusion. Plate endocorrector of the third generation provides effective three-dimensional deformity correction for idiopathic III–IV grade scoliosis. The endocorrector does not prevent further spine growth in children after surgery.

scholarly journals Early and long-term results after Soave-Boley operation as the surgical treatment of colon agangliosis in children

2020 ◽  
pp. 37-42
Author(s):  
V.P. Prytula ◽  
◽  
D.Yu. Krivchenya ◽  
M.I. Silchenko ◽  
O.O. Kurtash ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Surgical Complications ◽  
Age Groups ◽  
Surgical Correction ◽  
Long Term Results ◽  
Anal Anastomosis ◽  
Manual Suture ◽  
Mechanical Stapler

Introduction. Сolon agangliosis (CA) belongs to a group of severe congenital malformations of the colon that can only be treated by surgical approach. The Soave-Boley technique is one of the most physiological and technically acceptable among pediatric surgeons from from all over the world. Aim – evaluate the early and long-term results of surgical treatment of CA in children by Soave-Boley method. Materials and methods. We analysed surgical treatment of 774 children with various forms of CA aged from birth to 18 years for the period from 1980 to 2020, using the Soave-Boley method by the formation of the primary colo-anal anastomosis by manual (suture) and mechanical (stapler) method. Results. All patients survived. Early postoperative surgical complications were seen in 19 (2.45%) of 774 children operated by Soave-Boley method: in 15 – after the formation of the primary colo-anal anastomosis by manual (sutures) method and 4 – after the imposition of a colo-anal anastomosis by mechanical (stapler) method. Long-term postoperative complications were noted in 15 (1.94%) of 774 children operated by Soave-Boley method: 14 – with a manual (suture) and 1 – with a mechanical (stapler) colo-anal anastomosis. Re-operation was successfully performed in 30 (3.87%) patients with reconstructing colo-anal anastomosis manually with Soave-Boley method after initial correction of CA in other clinics by other methods. Periodic episodes of soiling were seen in the remote period in 47 (6.07%) of 774 operated children which was treated conservatively. The success of the Soave-Boley technique is confirmed by a much lower number of early (2.45%) and long-term (1.94%) postoperative surgical complications, compared with those after the use of other methods of open surgical correction – 17.52% and 16.35%, respectively. Conclusions. Soave-Boley operation with colo-anal anastomosis by manual (suture) and mechanical (stapler) methods in comparison with other methods is the most effective method of radical correction of CA as open surgical approach in children of different age groups as single staged or double staged interventions. According to the technical capabilities and results of the early and long period, the Soave-Boley technique with colo-anal anastomosis by manual (ligature) method is the operation of choice for both primary and re-surgical correction of CA compared to any other methods. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. No conflict of interest was declared by the authors. Key words: agangliosis, colon, children, surgical treatment, results.

Application of Cross-Section Corrective («Translation») Forces at Surgical Treatment for Scoliosis

2012 ◽  
Vol 19 (3) ◽  
pp. 14-19
Author(s):  
Ya. R Jalilov ◽  
V. Q Verdiyev ◽  
T. Y Jalilov
Keyword(s):  
Surgical Treatment ◽  
Cross Section ◽  
Deformity Correction ◽  
Stable Fixation ◽  
Loss Of Correction ◽  
Scoliotic Deformity ◽  
Mathematic Modeling ◽  
Long Term Follow Up

Surgical treatment results for 53 patients with III—IV stage of scoliosis are presented. In all patients original endocorrector has been applied. Endocorrector is based on the application of cross-section corrective («translation effect») forces that enable to shift the vertebrae of the main scoliotic arch to the median line of the trunk. Endocorrector was the most effective in curvature arch under 75° and provided 35—45° correction. Mathematic modeling of a situation «endocor- rector—curved spine» was performed as well as the pattern of forces created by endocorrector and participated in the scoliotic deformity correction was studied. Surgical intervention enabled to achieve stable fixation of the spine with its sagittal contours preservation. At long-term follow up (1—6 years) loss of correction did not exceed 8—10°. In scoliosis with arch over 75° step-by- step corrections were performed and loss of correction could make up 15°.

scholarly journals CORRECTION OF IDIOPATHIC SCOLIOSIS USING TOTAL TRANSPEDICULAR FIXATION IN A PATIENT WITH INCOMPLETE GROWTH

2019 ◽  
Vol 16 (1) ◽  
pp. 32-37
Author(s):  
M. A. Chernyadjeva ◽  
A. S. Vasyura ◽  
V. V. Novikov ◽  
D. N. Dolotin
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Female Patient ◽  
Surgical Correction ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Transpedicular Fixation ◽  
Results Of Treatment

The paper presents a completed case of the surgical treatment of a 10-year-old female patient with progressive grade IV idiopathic scoliosis who underwent surgical correction using total transpedicular fixation. The paper demonstrates long-term results of treatment of idiopathic scoliosis in the actively growing patient without the use of epiphyseodesis and staged surgical interventions.

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