RESULTS OF HEMIVERTEBRA EXCISION THROUGH COMBINED, POSTERIOR AND TRANSPEDICULAR APPROACHES: SYSTEMATIC REVIEW
https://doi.org/10.14531/ss2017.1.14-23
Abstract
The paper presents a review of 28 domestic and foreign publications with the level of evidence of not less than 2 reporting the treatment results in children with congenital monosegmental anomalies of the spine over the past 15 years. A total of 657 clinical cases were analyzed, including 593 literature cases and 64 cases from authors’ experience. Results of hemivertebra treatment in children using combined approach, extended posterior approach and local posterior approach with transpedicular excision of hemivertebra were analyzed. The following criteria were used for analysis: patient’s age at the time of treatment, magnitude of the local (segmental) curvature before and after surgery, percentage of correction, blood loss volume, duration of surgery, type and length of fixation, and nature and structure of complications. The advantages of transpedicular excision of abnormal vertebra through posterior approach were noted in terms of surgery duration, intraoperative blood loss, risk of neurological complications after comparable correction of deformity, and time required for patient activation and rehabilitation as compared with combined approach, as well as in terms of blood loss volume and correction of kyphotic component as compared with extended posterior approach.
About the Authors
Sergey Olegovich Ryabykh
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
Egor Yuryevich Filatov
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
Dmitry Mikhailovich Savin
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Ryabykh S.O., Filatov E.Yu., Savin D.M. RESULTS OF HEMIVERTEBRA EXCISION THROUGH COMBINED, POSTERIOR AND TRANSPEDICULAR APPROACHES: SYSTEMATIC REVIEW. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(1):14-23. https://doi.org/10.14531/ss2017.1.14-23
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