Surgical management of neurologically complicated kyphoscoliosis using transposition of the spinal cord: Case report
| Autor: | V. V. Novikov, M.A. Sadovoy, A. S. Vasyura, M.V. Mikhaylovskiy, M. N. Lebedeva |
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| Rok vydání: | 2016 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.disease Spinal cord Surgery Severe kyphoscoliosis Transposition (music) 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Neurological complications Spinal cord compression Anesthesia Case report Complete regression Transposition of the spinal cord Surgical management Medicine Spinal canal business Kyphoscoliosis 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Case of patient with single-stage correction of severe congenital kyphoscoliotic spinal deformities is provided. • Combined anterior-posterior approach was applied. • Transposition of the spinal cord followed by correction using vertebral instrumentation made it possible to improve trunk balance and stop deformity progression. Background Transposition of the spinal cord made it possible to achieve mobilization of the fixed kyphoscoliosis, significantly increase spinal canal volume and improve spinal canal shape. This helped to eliminate spinal cord compression and achieve complete regression of the existing neurological symptoms. Methods and results We report the clinical case of surgical management of neurologically complicated kyphoscoliotic deformity of the thoracic spine by transposition of the spinal cord and correction using posterior segmental spinal instrumentation. Conclusions The required correction of severe kyphoscoliosis was performed; the risks of trunk imbalance, deformity progression, and instrumentation failure in the long-term postoperative period were reduced. Level of evidence Level IV – 1 case. |
| Databáze: | OpenAIRE |
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