Posterolateral Diskectomies for Treatment of Pediatric Spinal Deformities
| Autor: | Paul D. Sponseller, Hamid Hassanzadeh, Brian T. Sullivan, Nigel N. Hsu, Amit Jain |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Radiography medicine.medical_treatment Scoliosis Thoracic Vertebrae Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Deformity Humans Orthopedics and Sports Medicine Triradiate cartilage Child Diskectomy Retrospective Studies 030222 orthopedics business.industry Retrospective cohort study medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Spinal fusion Thoracic vertebrae Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Spine. 43:1139-1145 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000002525 |
| Popis: | STUDY DESIGN Retrospective. OBJECTIVE To investigate the indications, radiographic outcomes, and complications in children with spinal deformities treated with posterolateral diskectomy with posterior fusion (PLDF), and to compare them against those of patients treated with anteroposterior spinal fusion (APSF). SUMMARY OF BACKGROUND DATA A novel technique for treating large, rigid spinal deformities in children has been proposed, consisting of PLDF at the apex of the deformity using an all-posterior approach. METHODS We evaluated records of all patients 21 years or younger who underwent treatment for spinal deformity between 2010 and 2015 by one surgeon using PLDF (n = 56) or APSF (n = 21). RESULTS The indications for PLDF were large, rigid curves (37 patients); focal curves with severe rotation (10 patients); or large curves with open triradiate cartilage (nine patients). PLDF patients had a mean (± standard deviation) of 3 ± 1 diskectomies and 14 ± 3 posterior spinal levels fused. Compared with the APSF group, the PLDF group had significantly greater major curve correction (86% vs. 57%, P = 0.006), less blood transfused (mean, 2.5 ± 2.6 vs. 4.0 ± 3.3 units, P = 0.038), and a lower rate of staged surgery (1.8% vs. 86%, P |
| Databáze: | OpenAIRE |
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