VEPTR INSTRUMENTATION IN THE SURGERYFOR INFANTILE AND JUVENILE SCOLIOSIS: FIRST EXPERIENCE IN RUSSIA
https://doi.org/10.14531/ss2010.3.31-41
Abstract
Objective. To analyze results of new method of treatment for progressive infantile and juvenile scoliosis of different etiology using VEPTR instrumentation. Material and Methods. Twenty two patients at the age of 1.5 to 8.7 years were operated on, most of them for idiopathic and congenital scoliosis. Mean value of primary scoliotic curve was 66.3°. Besides routine investigations all patients underwent MRI and MSCT of the spine, and detailed examination by neurologist, pediatrician, and specialized doctors. Arrangement of endocorrector depended on etiology and nature of the spine deformity. Results. The first operation resulted in reduction of a primary scoliotic curve angle to 47.9°. Correction was 18.4° (27.8 %). Before the first expansion in 12 patients a mean deformity angle was 65.5°, and after expansion — 54.0°. Only two patients underwent more than two expansions. Complications were noted in two cases. Despite a large quantity of co-morbidities, all patients showed tolerance to performed intervention. Conclusion. Principal novelty of the method of treatment for progressive infantile and juvenile scoliosis stipulates accumulation of experience and revelation of advantages and drawbacks of the VEPTR instrumentation.
About the Authors
Mikhail Vitalyevich Mikhailovsky
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Vasily Aleksandrovich Suzdalov
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Denis Nikolayevich Dolotin
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Sergey Olegovich Ryabykh
St. Petersburg State Medical University n.a. acad. I.P. Pavlov
Russian Federation
Russian Federation
Maya Nikolayevna Lebedeva
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Mikhailovsky M.V., Ulrikh E.V., Suzdalov V.A., Dolotin D.N., Ryabykh S.O., Lebedeva M.N. VEPTR INSTRUMENTATION IN THE SURGERYFOR INFANTILE AND JUVENILE SCOLIOSIS: FIRST EXPERIENCE IN RUSSIA. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(3):031-041. https://doi.org/10.14531/ss2010.3.31-41
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