Abstrakt: |
The growth of the unit of vertebrae and intact vertebrae outside and within the instrumental fixation area was studied in children operated on for tuberculosis spondylitis complicated by severe kyphotic deformity. There was a considerable growth retardation of blocked vertebrae after radical spinal repair from the growth of intact vertebrae. Instrumental fixation of the vertebral column after its radical reconstruction causes no considerable retardation of the vertical growth of intact vertebral bodies; however, it leads to the advanced growth of their anterior versus posterior portions, which mediates a supplementary self-correction of residual kyphosis during growth. When compression implants are presented in the body for 2 years or more, most children develop degeneration of intervertebral risks within the fixation area. |