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

Author(s):  
M. V. Mikhailovskiy ◽  
V. V. Novikov ◽  
I. G. Udalov

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.

2015 ◽  
Vol 22 (2) ◽  
pp. 66-75
Author(s):  
M. V Mikhailovskiy ◽  
V. V Novikov ◽  
I. G Udalov

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.


2013 ◽  
Vol 20 (4) ◽  
pp. 34-40
Author(s):  
S. V Kolesov ◽  
A. A Snetkov ◽  
M. L Sazhnev ◽  
A. N Shaboldin

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.


2011 ◽  
Vol 11 (10) ◽  
pp. S173
Author(s):  
Hamid Hassanzadeh ◽  
Amit Jain ◽  
Mostafa El Dafrawy ◽  
Addisu Mesfin ◽  
Richard Skolasky ◽  
...  

Neurosurgery ◽  
2008 ◽  
Vol 63 (suppl_3) ◽  
pp. A177-A182 ◽  
Author(s):  
Justin S. Smith ◽  
Vincent Y. Wang ◽  
Christopher P. Ames

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.


2019 ◽  
Vol 13 (3) ◽  
pp. 478-489 ◽  
Author(s):  
Sudhir Kumar Srivastava ◽  
Rishi Anil Aggarwal ◽  
Sunil Krishna Bhosale ◽  
Kunal Roy ◽  
Pradip Sharad Nemade ◽  
...  

Author(s):  
S. V. Kolesov ◽  
M. L. Sazhnev ◽  
A. A. Snetkov ◽  
A. I. Kaz’Min

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.


Author(s):  
Anton Viktorovich Yarikov ◽  
Roman Olegovich Gorbatov ◽  
Maksim Vladimirovich Shpagin ◽  
Ilya Igorevich Stolyarov ◽  
Anton Andreevich Denisov ◽  
...  

This article is devoted to the analysis of the possibility of using additive technologies in clinical practice. The number of medical specialties that use 3D printing technologies to treat patients is increasing every year. Thanks to the emergence of high-tech qualified medical care, it is possible to carry out the most complex surgical interventions and give a person who is faced with serious diseases a high-quality and fulfilling life. The creation of a 3D model using the data of a specific patient, the use of 3D computer modeling and additive technologies have become a real breakthrough in many areas of surgery. Today, such an approach in planning reconstructive and restorative operations occupies an important position in modern medicine. The authors of the article presented their experience of using additive 3D printing technologies in clinical practice. The researchers paid special attention to the results of the use of additive technologies in the treatment of diseases of the spine: deformities, degenerative-dystrophic and oncological diseases.


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