Email this article The use of orthotics in a patient with congenital backbone deformation after surgical treatment
- Authors: Murashko V.V.1, Kokushin D.N.1, Vissarionov S.V.1, Lein G.A.2, Pavlov I.V.3,4, Redchenko I.A.1,3
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Affiliations:
- The Turner Scientific Research Institute for Children’s Orthopedics
- The Prosthetic and Orthopedic Center “Scoliologic.ru”
- LLC “NWSPC “Ortetica”
- LLC “SIE “Stylian”
- Issue: Vol 6, No 4 (2018)
- Pages: 103-109
- Section: Clinical cases
- URL: https://journals.rcsi.science/turner/article/view/10863
- DOI: https://doi.org/10.17816/PTORS64103-109
- ID: 10863
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Abstract
Introduction. New questions of indications and methods of surgical treatment of children with congenital spinal deformity are covered in detail. However, straightening deformed segment of the spine and fixing with metal construction is not sufficient, and conditions for its retention and prevention of migration must be created. The expediency of the study is relevant because of lack of systematic review of the results of orthotic support as complex treatment of this group of patients, both in Russia and abroad. The problems faced by vertebral surgeons are the following: the tendency of deformation relapse as the child grows, tendency of deformation of unfixed (lower and upper) segments of the vertebral column.
Clinical case. For observation, we selected an 11-year-old patient. The diagnosis was congenital scoliosis on posterolateral hemivertebra Th4, dysplastic course of congenital spinal deformity. The surgical treatment performed was extirpation of hemivertebra Th4(S) and the correction of local congenital deformity with multicore corrective system in combination with bone grafting. We achieved complete correction of congenital local curve at the level of the posterior lateral hemivertebra and reduction of compensatory curves in the thoracic and lumbar spine. In the postoperative period, the patient was provided with corrective brace, with the aim of influencing on the compensatory curve.
Discussion. This clinical observation aimed to determine the different approaches to treatment of children with congenital deformities of the thoracic spine, which consists of surgical correction of local congenital curvature curve with subsequent correction of compensatory curves by using a correcting brace.
Conclusion. As a result of the surgical intervention, correction of congenital spinal deformity was achieved, and the use of a corrective brace in the postoperative period allowed the correction of compensatory curves and maintained the achieved result until the end of the patient’s growth.
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##article.viewOnOriginalSite##About the authors
Vladislav V. Murashko
The Turner Scientific Research Institute for Children’s Orthopedics
Author for correspondence.
Email: partgerm@yandex.ru
MD, Orthopedic and Trauma Surgeon of the Department of Spine Pathology and Neurosurgery
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Dmitry N. Kokushin
The Turner Scientific Research Institute for Children’s Orthopedics
Email: partgerm@yandex.ru
MD, PhD, Senior Research Associate of the Department of Pathology of the Spine and Neurosurgery
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Sergei V. Vissarionov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
MD, PhD, Professor, Deputy Director for Research and Academic Affairs, Head of the Department of Spinal Pathology and Neurosurgery
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Grigoriy A. Lein
The Prosthetic and Orthopedic Center “Scoliologic.ru”
Email: lein@scoliologic.ru
MD, PhD, Orthopedic and Trauma Surgeon, General Director of the Prosthetic and Orthopedic Center “Scoliologic.ru”
Russian Federation, Saint PetersburgIvan V. Pavlov
LLC “NWSPC “Ortetica”; LLC “SIE “Stylian”
Email: johnkorset@yandex.ru
ORCID iD: 0000-0002-0412-6351
Ivan V. Pavlov — MD, PhD, Orthopedic and Trauma Surgeon, General Director of the LLC “NWSPC “Ortetica” and LLC “SIE “Stylian”
Russian Federation, Saint PetersburgIgnatiy A. Redchenko
The Turner Scientific Research Institute for Children’s Orthopedics; LLC “NWSPC “Ortetica”
Email: johnkorset@yandex.ru
MD, Orthopedic and Trauma Surgeon, PhD Student of the Department of Spine Pathology and Neurosurgery
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603; Saint-PetersburgReferences
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