scholarly journals TREATMENT OF SEVERE SPINAL DEFORMATIONS IN CHILDREN WITH IDIOPATHIC SCOLIOSIS USING HALO-GRAVITY TRACTION

2020 ◽  
Vol 73 (10) ◽  
pp. 2144-2149
Author(s):  
Valentyn A. Rohozynskyi ◽  
Anatolii F. Levytskyi ◽  
Mykola M. Dolianytskyi ◽  
Irina M. Benzar
Keyword(s):  
Spinal Cord ◽  
Comparative Analysis ◽  
Vertebral Column ◽  
Spinal Instrumentation ◽  
Deformity Correction ◽  
Second Step ◽  
Vertebral Column Resection ◽  
3 Dimensional ◽  
One Step ◽  
Surgical Treatments

The aim: To chose the best way treatment and achievement of 3-dimensional spinal correction in order to maximize its parameters to the physiological norms is a choice of the optimal surgical severe scoliotic spinal deformity correction technology. Materials and methods: Performed surgical treatments to 60 children of two patient’s groups, that were under surgical treatment for severe scoliotic spinal deformations with preliminary used halo-gravity traction and one-step correction; to establish an effective and safe protocol of the treatment for children with severe scoliotic spinal deformations (>100°). The results comparative analysis of 60 patients with severe scoliotic spinal deformations, with a two-step surgery treatments (first step – halo-gravity traction and second step – correcting spinal instrumentation) and patients with one-step correction. Patients were divided into 2 groups with 30 children in each of them. The first group treated with preoperatively HGT (halo-gravity traction) and after that a spinal instrumentation together with osteotomies (3-4 levels by Ponte; VCR (vertebral column resection) osteotomy 1 level) were performed. The second group – performed one-step spinal instrumentation with osteotomies (3-4 levels by Ponte; VCR osteotomy 1 level). Results: One-step implanted construction in children with severe scoliotic spinal deformations, compare to HGT treatment that were carried out in stages – is increasing the danger of neurological deficiency by 17%, HGT allows to make more corrections and to adjust spinal cord for the next correction treatment. . Conclusions: Halo-gravity traction as a first stage of severe scoliotic spinal deformations treatment allows to increase the mobility of the vertebral column and to adjust spinal cord step by step for the next correction treatment.

Vertebral Column Resection (VCR) & Pedicle Subtraction Osteotomy (PSO) in Spinal Deformity Correction in Adult Patients 60 Years & Older

2011 ◽  
Vol 11 (10) ◽  
pp. S173
Author(s):  
Hamid Hassanzadeh ◽  
Amit Jain ◽  
Mostafa El Dafrawy ◽  
Addisu Mesfin ◽  
Richard Skolasky ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Vertebral Column ◽  
Deformity Correction ◽  
Pedicle Subtraction Osteotomy ◽  
Adult Patients ◽  
Vertebral Column Resection

Vertebral column resection for complex congenital kyphoscoliosis and type I split spinal cord malformation

2013 ◽  
Vol 23 (6) ◽  
pp. 1158-1163 ◽  
Author(s):  
Hua Hui ◽  
Zhen-Xing Zhang ◽  
Tuan-Min Yang ◽  
Bao-Rong He ◽  
Ding-Jun Hao
Keyword(s):  
Spinal Cord ◽  
Vertebral Column ◽  
Type I ◽  
Vertebral Column Resection ◽  
Spinal Cord Malformation

Posterior vertebral column subtraction osteotomy: a novel surgical approach for the treatment of multiple recurrences of tethered cord syndrome

2009 ◽  
Vol 10 (4) ◽  
pp. 278-286 ◽  
Author(s):  
Patrick C. Hsieh ◽  
Stephen L. Ondra ◽  
Andrew W. Grande ◽  
Brian A. O'Shaughnessy ◽  
Karin Bierbrauer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Column ◽  
Spinal Column ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
The Novel ◽  
Tethered Spinal Cord ◽  
Vertebral Column Resection ◽  
Csf Leakage ◽  
Multiple Recurrences

Recurrent tethered cord syndrome (TCS) has been reported to develop in 5–50% of patients following initial spinal cord detethering operations. Surgery for multiple recurrences of TCS can be difficult and is associated with significant complications. Using a cadaveric tethered spinal cord model, Grande and colleagues demonstrated that shortening of the vertebral column by performing a 15–25-mm thoracolumbar osteotomy significantly reduced spinal cord, lumbosacral nerve root, and terminal filum tension. Based on this cadaveric study, spinal column shortening by a thoracolumbar subtraction osteotomy may be a viable alternative treatment to traditional surgical detethering for multiple recurrences of TCS. In this article, the authors describe the use of posterior vertebral column subtraction osteotomy (PVCSO) for the treatment of 2 patients with multiple recurrences of TCS. Vertebral column resection osteotomy has been widely used in the surgical correction of fixed spinal deformity. The PVCSO is a novel surgical treatment for multiple recurrences of TCS. In such cases, PVCSO may allow surgeons to avoid neural injury by obviating the need for dissection through previously operated sites and may reduce complications related to CSF leakage. The novel use of PVCSO for recurrent TCS is discussed in this report, including surgical considerations and techniques in performing PVCSO.

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.

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