Spinal osteotomy for children with congenital scoliosis with unilateral unsegmented bar: Preliminary results
- Authors: Vissarionov S.V.1, Asadulaev M.S.2, Khardikov M.A.1, Shabunin A.S.1,3, Khusainov N.O.1, Kartavenko K.A.1
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Affiliations:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery
- Peter the Great Saint Petersburg Polytechnic University
- Issue: Vol 9, No 4 (2021)
- Pages: 417-426
- Section: Original Study Article
- URL: https://journals.rcsi.science/turner/article/view/77239
- DOI: https://doi.org/10.17816/PTORS77239
- ID: 77239
Cite item
Abstract
Introduction. Segmentation disorder of the lateral surfaces of the vertebral bodies leads to the development of progressive deformity of the spine. Surgical interventions in different variants are the only effective way of treatment. This study examines the use of corrective vertebrectomy in patients with congenital scoliosis with impaired segmentation of the lateral surfaces of the vertebral bodies.
Objective of the study. To evaluate the results of surgical treatment of children with congenital scoliosis with impaired segmentation of the lateral surfaces of vertebral bodies.
Materials and Methods. A single-center retrospective study on the basis of the Department of Spinal Pathology and Neurosurgery at the Turner Scientific and Research Center for Pediatric Traumatology and Orthopedics. G.I. Turner for the period from 2014 to 2020. Twenty-six patients were included in the study: 14 girls and 12 boys. The age range was 84 to 144 months. All patients underwent surgical intervention in the volume of a one-stage corrective wedge vertebrectomy. Statistical processing was performed by comparing the reliability of differences in distributions using Wilcoxon t-criterion.
Results and discussion. The median Cobb preoperative scoliotic deformity was 31°, interquartile interval (IQR) = 30.5. The median preoperative lordotic deformity was 29° Cobb, IQR = 29.5. The magnitude of correction of the scoliotic component of the deformity was 84%, (median value after intervention: 5° according to Cobb, IQR = 14.5). The magnitude of correction of pathological lordosis of the thoracic spine was 41%, (median value after intervention: 17° according to Cobb, IQR = 14.5). The obtained results were statistically significant (p < 0.05).
Conclusion. Corrective wedge vertebrectomy is an effective method for surgical treatment of children with congenital spinal deformity with impaired segmentation of the lateral surfaces of vertebral bodies. This method of treatment achieves an average of 84% correction of scoliotic deformity and 41% correction of pathological lordosis.
Full Text
##article.viewOnOriginalSite##About the authors
Sergey V. Vissarionov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
Scopus Author ID: 6504128319
ResearcherId: P-8596-2015
MD, PhD, D.Sc., Professor, Corresponding Member of RAS
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Marat S. Asadulaev
H.Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery
Email: marat.asadulaev@yandex.ru
ORCID iD: 0000-0002-1768-2402
SPIN-code: 3336-8996
MD, PhD student
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Michael A. Khardikov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: denica1990@bk.ru
ORCID iD: 0000-0002-8269-0900
SPIN-code: 3378-7685
Scopus Author ID: 57203014683
MD, PhD student
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Anton S. Shabunin
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; Peter the Great Saint Petersburg Polytechnic University
Author for correspondence.
Email: anton-shab@yandex.ru
ORCID iD: 0000-0002-8883-0580
SPIN-code: 1260-5644
Scopus Author ID: 57191623923
laboratory assistant in the Laboratory of Experimental Surgery, PhD student
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603; 29, Polytechnitcheskaya street, St.-Petersburg, 195251Nikita O. Khusainov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: nikita_husainov@mail.ru
ORCID iD: 0000-0003-3036-3796
SPIN-code: 8953-5229
Scopus Author ID: 57193274791
ResearcherId: AAM-4494-2020
MD, PhD, Research Associate
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Kirill A. Kartavenko
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: med-kart@yandex.ru
ORCID iD: 0000-0002-6112-3309
SPIN-code: 5341-4492
Scopus Author ID: 57193272063
MD, PhD, Orthopedic and Trauma Surgeon of the Department of Spinal Pathology and Neurosurgery
Russian Federation, 64-68, Parkovaya str., Saint-Petersburg, Pushkin, 196603References
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