SURGICAL TREATMENT OF CONGENITAL KYPHOSIS IN PATIENTS OLDER THAN 10 YEARS
https://doi.org/10.14531/ss2016.1.20-26
Abstract
Objective. To analyze the outcomes of surgery for congenital kyphotic deformities of the spine in patients over 10 years old.
Material and Methods. A total of 49 patients with congenital kyphosis were operated on. The age of the patients at the time of treatment was at least 10 years (mean 14.8 years), the follow-up period - at least 2 years (mean 3.8 years). All patients were operated on using third generation segmental instrumentation with hook and hybrid fixation.
Results. Congenital kyphotic deformities are of high rigidity. The average magnitude of preoperative kyphosis was 92.9°, mobility - 27.5 %, during the operation it was corrected to 61.7° (33.5 %), postoperative progression was 4°. All anthropometric indicators have improved, the SRS-24 survey also showed positive patient-reported outcomes. At the same time, the complications are quite frequent, as well as initial involvement of the spinal canal content in the pathological process (11 patients).
Conclusion. Congenital kyphotic deformities should be detected as early as possible and timely treated.
About the Authors
Mikhail Vitalyevich Mikhailovsky
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Vyacheslav Viktorovich Novikov
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Aleksandr Sergeyevich Vasyura
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Inga Gennadyevna Udalova
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Tatyana Nikiforovna Sadovaya
ANO «Klinika NIITO»
Russian Federation
Russian Federation
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Review
For citations:
Mikhailovsky M.V., Novikov V.V., Vasyura A.S., Udalova I.G., Sadovaya T.N. SURGICAL TREATMENT OF CONGENITAL KYPHOSIS IN PATIENTS OLDER THAN 10 YEARS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2016;13(1):20-26. https://doi.org/10.14531/ss2016.1.20-26
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