SURGERY FOR CONGENITAL VERTEBRAL ABNORMALITIES USING TRANSPEDICULAR FIXATION IMPLANTS IN INFANTS
https://doi.org/10.14531/ss2005.3.56-60
Abstract
Objectives. To assess the possibility of application of transpedicular fixation for congenital spine deformities in patients early than 5 years old.
Materials and Methods. Eleven patients aged from 1.5 to 5 years with congenital vertebral scoliosis and kyphoscoliosis caused by abnormalities in formation of thoracolumbar and lumbar vertebrae were operated on using spinal instrumentation with transpedicular support elements. Four patients had single vertebra malformation, and seven patients – multiple ones.
Results. Surgically achieved correction of the deformity was 92–100 % for a single hemivertebra and 50–70 % for multiple abnormalities. Stable fixation was achieved in all cases. The use of transpedicular supporting elements in infants with congenital scoliosis resulted from vertebral formation failure in thoracolumbar and lumbar spine is a method of choice in cases with severe deformity and underdevelopment or absence of posterior vertebral elements.
Conclusion. Installation of transpedicular screws in infant’s lumbar vertebral bodies is a realizable procedure, which has some advantages as compared with traditional hook supports.
About the Authors
Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Sergey Valentinivich Vissarionov
Research Pediatric Orthopaedic Institute n.a. G.I. Turner, St. Petersburg
Russian Federation
Russian Federation
Aleksandr Yuryevich Mushkin
St. Petersburg Medical Academy of Postgraduate Studies, St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
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Review
For citations:
Ulrikh E.V., Vissarionov S.V., Mushkin A.Yu. SURGERY FOR CONGENITAL VERTEBRAL ABNORMALITIES USING TRANSPEDICULAR FIXATION IMPLANTS IN INFANTS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2005;(3):056-060. (In Russ.) https://doi.org/10.14531/ss2005.3.56-60
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