Step-up approach for surgical treatment of the spinal canal stenosis in a patient with mucopolysaccharidosis type VI (Maroto–Lami syndrome)

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Abstract

The article presents a clinical case of step-up surgical treatment of spinal canal stenosis at the craniovertebral and thoracolumbar level in a patient with mucopolysaccharidosis (MPS) type VI. The treatment method gives an opportunity to achieve a satisfactory result at the background of severe metabolic disease.

About the authors

Sergey V. Kolesov

N.N. Priorov Central Institute of Traumatology and Orthopedics

Author for correspondence.
Email: dr-kolesov@yandex.ru

Dr. Sci. (Med.), Professor, traumatologist-orthopedist, Head of the Department of Spinal Pathology

Russian Federation, Moscow

Vladimir S. Pereverzev

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: vcpereverz@gmail.com

traumatologist-orthopedist of the Department of Spinal Pathology

Russian Federation, Moscow

Vladimir V. Shvets

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: vshvecv@yandex.ru

Dr. Sci. (Med.), traumatologist-orthopedist, leading researcher of the Department of Spinal Pathology

Russian Federation, Moscow

Arkadiy I. Kazmin

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: kazmin.cito@mail.ru

Cand. Sci. (Med.), traumatologist-orthopedist of the Department of Spinal Pathology

Russian Federation, Moscow

Maxim L. Sazhnev

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: mak.sajnev@yandex.ru

Cand. Sci. (Med.), traumatologist-orthopedist of the Department of Spinal Pathology

Moscow

Andrey A. Panteleev

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: apanteleyev@gmail.com

traumatologist-orthopedist of the Department of Spinal Pathology

Russian Federation, Moscow

Igor A. Kruglikov

N.N. Priorov Central Institute of Traumatology and Orthopedics

Email: igorkruglikov@yandex.ru

anesthesiologist-resuscitator

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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2. Fig. 1. The appearance of a 19-year-old patient with mucopolysaccharidosis type VI: a — before surgery; b — after surgery, there is an improvement in the sagittal profile

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3. Fig. 2. Magnetic resonance imaging of the cervical spine, marked stenosis of the spinal canal at the level of the craniovertebral junction (arrows)

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4. Fig. 3. Radiographs and computed tomogram of the cervical spine after surgery, the position of the hardware is correct

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5. Fig. 4. Magnetic resonance imaging of the thoracolumbar spine, there is a focus of myelopathy at the level of the Th11 vertebra

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6. Fig. 5. Radiographs of the thoracolumbar spine after surgery, there is a pronounced correction of the deformity, the angle of correction was about 30º

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