Preview

Хирургия позвоночника

Расширенный поиск

Вертебральный синдром при последствиях спинно-мозговых грыж: особенности клиники и лечения

https://doi.org/10.14531/2018.4.107-114

Аннотация

Представлены рекомендации по оценке и лечению вертебральной патологии у пациентов с последствиями спинно-мозговых грыж для обсуждения перед утверждением в среде профессиональных ассоциаций. Рекомендации базируются на основе данных литературы и собственном опыте авторов. Цель работы – алгоритмизация лечения, материал представлен в основном в виде таблиц

Об авторах

С. О. Рябых
Российский научный центр «Восстановительная травматология и ортопедия» им. акад. Г.А. Илизарова
Россия

 д-р мед. наук, руководитель клиники патологии позвоночника и редких заболеваний

640014, Курган, ул. М. Ульяновой, 6



А. Ю. Мушкин
Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии
Россия

д-р мед. наук, проф., главный научный сотрудник

194064, Санкт-Петербург, ул. Политехническая, 32

 



Д. М. Савин
Российский научный центр «Восстановительная травматология и ортопедия» им. акад. Г.А. Илизарова
Россия

канд. мед. наук, заведующий травматолого-ортопедическим отделением № 9 клиники патологии позвоночника и редких заболеваний

640014, Курган, ул. М. Ульяновой, 6



Список литературы

1. Siegel MJ. Ultrassonografia Pediatrica. 3rd ed. Rio de Janeiro, RJ: Guanabara Koogan, 2003:37–108.

2. Lindseth RE. Myelomeningocele spine. In: Weinstein SL (ed.), The Pediatric Spine: Principles and Practice. Vol. 2. New York: Raven Press, 1994:1043–1067.

3. Ульрих Э.В., Мушкин А.Ю., Губин А.В. Вертебральная патология в синдромах. Новосибирск, 2016. [Ulrikh EV, Mushkin AYu, Gubin AV. Vertebral Pathology in Syndromes. Novosibirsk, 2016. In Russian].

4. Rogala EJ, Drummond DS, Gurr J. Scoliosis: incidence and natural history. A prospective epidemiological study. J Bone Joint Surg Am. 1978;60:173–176. DOI: 10.2106/00004623-197860020-00005.

5. Федеральная служба государственной статистики. Официальная статистика/Население/Здравоохранение. [Электронный ресурс]. URL: http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/healthcare. [Federal Service of State Statistics. Official statistics/Population/Healthcare. [Electronic resource]. URL: http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/healthcare. In Russian].

6. Ваккасов Н.Й., Ахмедиев М.М. Роль алгоритма диагностики при лечении детей с врожденными спинно-мозговыми грыжами // Нейрохирургия и неврология детского возраста. 2015. № 2 (44). С. 55–60. [Vakkasov NY, Akhmediev MM. The role of the diagnostic algorithm and treatment of children with congenital spina bifida. Pediatric Neurosurgery and Neurology. 2015;(2):55–60. In Russian].

7. Parisini P, Greggi T, Di Silvestre M, Giardina F, Bakaloudis G. Surgical treatment of scoliosis in myelomeningocele. Stud Health Technol Inform. 2002;91:442–447. DOI: 10.3233/978-1-60750-935-6-442.

8. Park TS, Cail WS, Maggio WM, Mitchell DC. Progressive spasticity and scoliosis in children with myelomeningocele: Radiological investigation and surgical treatment. J Neurosurg. 1985;62:367–375. DOI: 10.3171/jns.1985.62.3.0367.

9. Tachdijian MO. Myelomeningocele/scoliosis. In: Pediatric Orthopaedics. Philadelphia: WB Saunders, 1990:1843–1848.

10. Trivedi J, Thomson JD, Slakey JB, Banta JV, Jones PW. Clinical and radiographic predictors of scoliosis in patients with myelomeningocele. J Bone Joint Surg Am. 2002;84:1389–1394. DOI: 10.2106/00004623-200208000-00014.

11. Eysel P, Hopf C, Schwarz M, Voth D. Development of scoliosis in myelomeningocele. Differences in the history caused by idiopathic pattern. Neurosurg Rev. 1993;16:301–306. DOI: 10.1007/BF00383841.

12. Guille JT, Sarwark JF, Sherk HH, Kumar SJ. Congenital and developmental deformities of the spine in children with myelomeningocele. J Am Acad Orthop Surg. 2006;14:294-302. DOI: 10.5435/00124635-200605000-00005.

13. Carstens C, Koch H, Brocai DR, Niethard FU. Development of pathological lumbar kyphosis in myelomeningocele. J Bone Joint Surg Br. 1996;78:945–950.

14. Ryabykh SO, Pavlova OM, Savin DM, Burtsev AV, Gubin AV. Surgical management of myelomeningocele-related spinal deformities. World Neurosurg. 2018;112:e431–e441. DOI: 10.1016/j.wneu.2018.01.058.

15. Kahanovitz N, Duncan JW. The role of scoliosis and pelvic obliquity on functional disability in myelomeningocele. Spine. 1981;6:494–497. DOI: 10.1097/00007632-198109000-00012.

16. Muller EB, Nordwall A, Oden A. Progression of scoliosis in children with myelomeningocele. Spine. 1994;19:147–150.

17. Hudgins RJ, Gilreath CL. Tethered spinal cord following repair of myelomeningocele. Neurosurg Focus. 2004;16:E7. DOI: 10.3171/foc.2004.16.2.8.

18. Herman JM, McLone DG, Storrs BB, Dauser RC. Analysis of 153 patients with myelomeningocele or spinal lipoma reoperated upon for a tethered cord. Pediatr Neurosurg. 1993;19:243–249. DOI: 10.1159/000120739.

19. Sarwark JF, Weber DT, Gabrieli AP, McLone DG, Dias L. Tethered cord syndrome in low motor level children with myelomeningocele. Pediatr Neurosurg. 1996;25:295–301. DOI: 10.1159/000121143.

20. Bowman RM, Mohan A, Ito J, Seibly JM, McLone DG. Tethered cord release: a long-term study in 114 patients: Clinical article. J Neurosurg Pediatr. 2009;3:181–187. DOI: 10.3171/2008.12.PEDS0874.

21. Dias MS. Neurosurgical causes of scoliosis in patients with myelomeningocele: an evidence-based literature review. J Neurosurg Pediatr. 2005;103:24–35. DOI: 10.3171/ped.2005.103.1.0024.

22. Samuelsson L, Skoog M. Ambulation in patients with myelomeningocele: a multivariate statistical analysis. J Pediatr Orthop. 1988;8:569–575.

23. Sharma S, Wu C, Andersen T, Wang Y, Hansen ES, Bunger CE. Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years. Eur Spine J. 2013;22:1230–1249. DOI: 10.1007/s00586-012-2542-2.

24. Samdani AF, Fine AL, Sagoo SS, Shah SC, Cahill PJ, Clements DH, Betz RR. A patient with myelomeningocele: is untethering necessary prior to scoliosis correction? Neurosurg Focus.2010;29:E8. DOI: 10.3171/2010.3.FOCUS1072.

25. Yuan N, Fraire JA, Margetis MM, Skaggs DL, Tolo VT, Keens TG. The effect of scoliosis surgery on lung function in the immediate postoperative period. Spine. 2005;30:2182–2185. DOI: 10.1097/01.brs.0000181060.49993.4a.

26. Wai EK, Owen J, Fehlings D, Wright JG. Assessing physical disability in children with spina bifida and scoliosis. J Pediatr Orthop. 2000;20:765–770. DOI: 10.1097/00004694-200011000-00013.

27. Wai EK, Young NL, Feldman BM, Badley EM, Wright JG. The relationship between function, self-perception, and spinal deformity: implications for treatment of scoliosis in children with spina bifida. J Pediatr Orthop. 2005;25:64–69. DOI: 10.1097/00004694-200501000-00015.

28. Sharma S, Wu C, Andersen T, Wang Y, Hansen ES, Bunger CE. Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years. Eur Spine J. 2013;22:1230–1249. DOI: 10.1007/s00586-012-2542-2.

29. Губин А.В., Корюков А.А., Резник А.В., Рябых С.О., Савин Д.М., Михайлов А.Г., Мухтяев С.В., Пухов С.П. Комплексное лечение пациентки с множественными пороками развития с применением оперативного лечения и протезирования // Гений ортопедии. 2016. № 1. С. 40–43. DOI 10.18019/1028-4427-2016-1-40-43. [Gubin AV, Koryukov AA, Reznik A., Ryabykh SO, Savin DM, Mikhaylov AG, Mukhtyaev SV, Pukhov SP. Complex treatment of a female patient with multiple developmental abnormalities using surgical intervention and prosthetics/ orthotics. Genij Ortopedii. 2016;(1):40–43. In Russian].

30. Boemers TM, Soorani-Lunsing IJ, de Jong TP, Pruijs HE. Urological problems after surgical treatment of scoliosis in children with myelomeningocele. J Urol. 1996;155:1066–1069.

31. Wild A, Haak H, Kumar M, Krauspe R. Is sacral instrumentation mandatory to address pelvic obliquity in neuromuscular thoracolumbar scoliosis due to myelomeningocele? Spine. 2001;26:E325–E329. DOI: 10.1097/00007632-200107150-00019.

32. Maloney WJ, Rinsky LA, Gamble JG. Simultaneous correction of pelvic obliquity, frontal plane, and sagittal plane deformities in neuromuscular scoliosis using a unit rod with segmental sublaminar wires: a preliminary report. J Pediatr Orthop. 1990;10:742–749.

33. Rodgers WB, Williams MS, Schwend RM, Emans JB. Spinal deformity in myelodysplasia. Correction with posterior pedicle screw instrumentation. Spine. 1997;22:2435–2443.

34. Smith JT, Novais E. Treatment of Gibbus deformity associated with myelomeningocele in the young child with use of the vertical expandable prosthetic titanium rib (VEPTR): a case report. J Bone Joint Surg Am. 2010;92:2211-2215. DOI: 10.2106/JBJS.I.00856.

35. Guille JT, Betz RR, Balsara RK, Mulcahey MJ, D’Andrea LP, Clements DH. The feasibility, safety, and utility of vertebral wedge osteotomies for the fusionless treatment of paralytic scoliosis. Spine. 2003;28:S266–S274. DOI: 10.1097/01.BRS.0000092485.40061.ED.

36. Cardoso M, Keating RF. Neurosurgical management of spinal dysraphism and neurogenic scoliosis. Spine. 2009;34:1775–1782. DOI: 10.1097/BRS.0b013e3181b07914.

37. Drummond DS, Moreau M, Cruess RL. The results and complications of surgery for the paralytic hip and spine in myelomeningocele. J Bone Joint Surg Br. 1980;62:49–53.

38. Hatlen T, Song K, Shurtleff D, Duguay S. Contributory factors to postoperative spinal fusion complications for children with myelomeningocele. Spine. 2010;35:1294–1299. DOI: 10.1097/BRS.0b013e3181bf8efe.

39. Sponseller PD, LaPorte DM, Hungerford MW, Eck K, Bridwell KH, Lenke LG. Deep wound infections after neuromuscular scoliosis surgery: a multicenter study of risk factors and treatment outcomes. Spine. 2000;25:2461–2466. DOI: 10.1097/00007632-200010010-00007.


Рецензия

Для цитирования:


Рябых С.О., Мушкин А.Ю., Савин Д.М. Вертебральный синдром при последствиях спинно-мозговых грыж: особенности клиники и лечения. Хирургия позвоночника. 2018;15(4):107-114. https://doi.org/10.14531/2018.4.107-114

For citation:


Ryabykh S.O., Mushkin A.Yu., Savin D.M. Vertebral syndrome in consequences of spina bifida: clinical features and treatment. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2018;15(4):107-114. https://doi.org/10.14531/2018.4.107-114



Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)