THE VERTEBRAL GROWTH AFTER LATERAL AND POSTEROLATERAL HEMIVERTEBRAE EXCISION IN PRESCHOOL AGE CHILDREN
https://doi.org/10.14531/ss2007.2.26-30
Abstract
Objective. To study the growth dynamics of vertebrae adjacent to the removed hemivertebra depending on the extension of instrumented and osteoplastic fixation. Material and Methods. The growth of fused vertebra was studied by roentgenometry measurements in 39 patients divided into groups depending on a level of hemivertebra and a type of surgery. Thirty five patients were operated on at the age under 5 years, and 4 – older than 5. The long-term results were followed up in 35 patients during the first growth-spurt period, in 7 patients during the growth-plane period, and in 5 patients during the second growth-spurt period. Results. Growth of the fused vertebrae after hemivertebra excision decreased less than 10 % as compare to theoretically possible one. The less number of vertebral motional segments included into the anterior and/or posterior fusion the closer to the norm is a growth of the blocked vertebrae. The vertebral growth is not influenced by the extension of instrumented fixation. Conclusion. Comprehensive approach to excision technique of hemivertebrae in the lower thoracic and lumbar spine of young children provides favorable conditions for the spine growth.
About the Authors
Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Aleksandr Yuryevich Mushkin
St. Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
Sergey Nikilayevich Pogorely
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Sergey Valentinivich Vissarionov
Research Pediatric Orthopaedic Institute n.a. G.I. Turner, St. Petersburg
Russian Federation
Russian Federation
References
1. Коваленко К.Н. Реконструктивная хирургия туберкулезного спондилита у детей младшего возраста: Автореф. дис.. д-ра мед наук. Л., 1990.
2. Кон И.И., Иткина З.Д. К вопросу о так называемом врожденном сколиозе // Актуальные вопросы травматологии и ортопедии. М., 1975. Вып. 2. С. 64–67.
3. Рохлин Д.Г., Финкельштейн М.А. Кости и суставы в ренгенологическом изображении. М., 1956.
4. Ульрих Э.В. Аномалии позвоночника у детей. СПб., 1995.
5. Цивьян Я.Л., Коржавин Г.М., Трясучева Р.М. и др. Управление ростом и формой позвоночника. Новосибирск, 1984.
6. Aydinli U., Ozturk C., Temiz A., et al. Comparison of two technigues in hemivertebra resection // World Congress of Pediatric Surgery, Zagreb, 2004. Pediatric trauma. Part 2.
7. Bergoin M., Bollini G., Gennari J.M. One-stage hemivertebral excision and arthrodesis on congenital oblique takeoff in children aged less than five years // J. Pediatr. Orthop. 1992. Part B. Vol. 1. P. 108–112.
8. Bollini G., Bergoin M., Labriet C., et al. Hemivertebral excision and fusion in children aged less than five years // J. Pediatr. Orthop. 1992. Part B. Vol. 1. P. 95–101.
9. Lonstein J.E. Congenital spine deformities: scoliosis, kyphosis, and lordosis // Orthop. Clin. North Am. 1999. Vol. 30. P. 387–405.
10. Ulrich E.V., Moushkin A.Y. Surgical treatment of scoliosis and kyphoscoliosis caused by hemivertebrae in infants // J. Pediatr. Orthop. 1992. Part B. Vol. 1. P. 113–115.
Review
For citations:
Ulrikh E.V., Mushkin A.Yu., Pogorely S.N., Vissarionov S.V. THE VERTEBRAL GROWTH AFTER LATERAL AND POSTEROLATERAL HEMIVERTEBRAE EXCISION IN PRESCHOOL AGE CHILDREN. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(2):026-030. https://doi.org/10.14531/ss2007.2.26-30
Email this article 