TOPOGRAPHIC CONTROL OF SPINAL DEFORMITY CORRECTION IN PATIENTS WITH UNILATERAL SHORTENING OF THE LOWER LIMB
https://doi.org/10.14531/ss2010.3.42-47
Abstract
Objective. To study topographical features of the trunk posture and spinal deformities in patients with unilateral shortening of the lower limb.
Material and Methods. Seventy-eight patients at the age of 5 to 22 years with unilateral shortening of the lower limb were examined: Group 1 included 59 patients with anatomical shortening of the lower limb of 2.0 to 17.0 cm; Group 2 included 19 patients with functional shortening of the lower limb of 1.0 to 1.5 cm. Efficacy of the spinal correction was assessed by computer optical topography.
Results. Posture disorders and spine deformities observed in lower limb length discrepancy are mainly the manifestations of the locomotor system adaptation to biomechanically off-normal conditions for function. Adaptive responses of the locomotor system such as posture disorders, postural asymmetries, and spine deformities were preserved in 39 % of cases. Depending on the side of shortening and the amount of limb length discrepancy the spinal adaptive deformities have different rates of resistance to the performed corrective manipulations: conservative therapy for deformity, surgical elimination of lower limb length discrepancy, and compensation for a short limb with supports.
Conclusion. Adaptive deformities of the spine in patients with small discrepancy between the length of lower limbs turned out to be more resistant to correction, than those in patients with large anatomical shortening of the lower limb.
About the Authors
Dmitry Vladimirovich Dolganov
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan
Russian Federation
Russian Federation
Irina Anatolyevna Menshchikova
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan
Russian Federation
Russian Federation
Eduard Vitalyevich Yershov
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan
Russian Federation
Russian Federation
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Review
For citations:
Dolganov D.V., Menshchikova I.A., Yershov E.V. TOPOGRAPHIC CONTROL OF SPINAL DEFORMITY CORRECTION IN PATIENTS WITH UNILATERAL SHORTENING OF THE LOWER LIMB. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(3):042-047. (In Russ.) https://doi.org/10.14531/ss2010.3.42-47
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