SURGICAL TREATMENT OF KYPHOSCOLIOSIS COMPLICATED BY NEUROLOGICAL DISORDERS USING SPINAL CORD TRANSPOSITION
https://doi.org/10.14531/ss2012.1.37-40
Abstract
The paper presents a clinical case of surgical treatment for kyphoscoliotic spinal deformity complicated by neurological disorders due to multiple developmental abnormalities of the thoracic spine. Surgery included spinal cord transposition and correction with third-generation segmental instrumentation. Transposition of the spinal cord resulted in significant increase in the spinal canal volume and improvement of its shape, and facilitated the elimination of the spinal cord compression and the complete regression of neurological symptoms. This allowed performing the required correction of severe kyphosciliosis and reducing the risk of trunk imbalance, deformity progression and late instrumentation failure after surgery.
About the Authors
V. V. Novikov
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
A. S. Vasyura
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
M. N. Lebedeva
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
M. V. Mikhailovsky
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
References
1. Bridwell KH, Lenke LG, Baldus C, et al. Major intraoperative neurologic deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution. Spine. 1998;23:324-331.
2. Cantore GP, Ciappetta P, Costanzo G, et al. Neurological deficits secondary to spinal deformities: their treatment and results in 13 patients. Eur Neurol. 1989;29:181-185.
3. Delecrin J, Bernard JM, Pereon Y, et al. Various mechanisms of spinal cord injury during scoliosis surgery. In: Neurological Complications of Spinal Surgery. Proceedings of the 11th GICD Congress. Arcachon, France, 1994:13-14.
4. Hyndman OR. Transplantation of the spinal cord; the problem of kyphoscoliosis with cord signs. Surg Gynecol Obstet. 1947;84:460-464.
5. Love JG. Transplantation of the spinal cord for the relief of paraplegia. AMA. Arch Surg. 1956;73:757-763.
6. Mechin JF. Neurological complications with Cotrel - Dubousset Instrumentation. In: Neurologic Complications of Spinal Surgery. Proceedings of the 11th GICD Congress. Arcachon, France, 1994:9-11.
7. Potter BK, Kirk KL, Shah SA, et al. Loss of coronal correction following instrumentation removal in adolescent idiopathic scoliosis. Spine. 2006;31:67-72.
8. Richards BS, Hasley BP, Casey VF. Repeat surgical interventions following «definitive» instrumentation and fusion for idiopathic scoliosis. Spine. 2006;31: 3018-3026.
9. Schneider RC. Transposition of the compressed spinal cord in kyphoscoliotic patients with neurological deficit with special reference to the vascular supply of the cord. J Bone Joint Surg Am. 1960;42:1027-1039.
10. Shenouda EF, Nelson IW, Nelson RJ. Anterior transvertebral transposition of the spinal cord for the relief of paraplegia associated with congenital cervicothoracic kyphoscoliosis. J Neurosurg Spine. 2006;5:374-379.
Review
For citations:
Novikov V.V., Vasyura A.S., Lebedeva M.N., Mikhailovsky M.V. SURGICAL TREATMENT OF KYPHOSCOLIOSIS COMPLICATED BY NEUROLOGICAL DISORDERS USING SPINAL CORD TRANSPOSITION. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2012;(1):37-40. (In Russ.) https://doi.org/10.14531/ss2012.1.37-40
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