Comprehensive Assessment of Outcomes From Patients With Severe Early-onset Scoliosis Treated With a Vertebral Column Resection: Results From an SRS Global Outreach Site (FOCOS) in Ghana
| Autor: | Kawdwo P Yankey, Henry Ofori Duah, Casey Slattery, Oheneba Boachie-Adjel, Kushagra Verma, Gregory M. Mundis |
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| Rok vydání: | 2018 |
| Předmět: |
Pelvic tilt
Male Reoperation Risk medicine.medical_specialty Lordosis Adolescent Databases Factual Operative Time Kyphosis Blood Loss Surgical Scoliosis Ghana 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Deformity Humans Orthopedics and Sports Medicine Child Retrospective Studies 030222 orthopedics business.industry General Medicine medicine.disease Sagittal plane Spine Surgery Osteotomy Radiography medicine.anatomical_structure Coronal plane Child Preschool Pediatrics Perinatology and Child Health Female medicine.symptom Complication business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of pediatric orthopedics. 38(7) |
| ISSN: | 1539-2570 |
| Popis: | BACKGROUND Early-onset scoliosis (EOS) remains a challenging pediatric spine condition to manage. Some severe deformities can be managed with a vertebral column resection (VCR), which is fraught with high complication rates and the outcomes have not been well reported. The purpose of this study is to provide an assessment of operative, radiographic, and clinical outcomes from children diagnosed with severe EOS treated with a VCR. METHODS We performed a retrospective review of prospectively collected data. Basic demographic data was collected along with the diagnosis, procedure performed, FOCOS risk score, blood loss (estimated blood loss), operative time, neuromonitoring events, intraoperative complications, and clinical follow-up. Coronal and sagittal radiographic parameters were measured by the first author. RESULTS We identified 14 patients with posttuberculosis deformity (n=7) or congenital deformity (n=7) that underwent VCR between 2013 and 2016 (5 female; age, 7.7±3 y; body mass index, 17.7±2.8). There was significant improvement in coronal radiographic parameters (primary curve: 55 to 21 degrees, secondary: 37 to 13 degrees, T1-12 length: 137 to 151 mm, T1-S1 length: 219 to 271 mm, P |
| Databáze: | OpenAIRE |
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