SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL LUMBAR SCOLIOSIS: COMPLETE OR PARTIAL RESECTION OF MALFORMED VERTEBRAE?
| Autor: | S. V. Vissarionov, K. A. Kartavenko, D. N. Kokushin, A. G. Baindurashvili, S. M. Belyanchikov, N. O. Khusainov, А. V. Ovechkina |
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| Jazyk: | ruština |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Travmatologiâ i Ortopediâ Rossii, Vol 23, Iss 4, Pp 18-28 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2311-2905 2542-0933 |
| DOI: | 10.21823/2311-2905-2017-23-4-18-28 |
| Popis: | The purpose of the study – to compare the effectiveness of surgical correction of spine lumbar congenital deformity by complete or partial resection of the abnormal vertebra in children.Material and methods. 68 children with isolated congenital malformation of the lumbar area of the spine were evaluated both clinically and instrumentally. Age of the patients was 6 months — 16 years 2 months (mean — 4 years 5 months). There were 41 female and 27 male patients. Patients were divided in two groups depending on the volume of the surgery. First group (n = 52) consisted of patients treated with complete hemivertebrae resection. Second group (n = 16) consisted of patients treated with partial resection of the malformed vertebrae.Results. After the surgery in the 1st group scoliotic curve was 0 to 21° and kyphotic curve was from -33 to 9°. 9 years post-op scoliotic and kyphotic curves were 0 to 22° and -31 to 10° respectively. In the 2nd group scoliotic curve was 3 to 27° and kyphotic curve was from -30 to 12°. 9 years post-op scoliotic and kyphotic curves were 7 to 41° and -26 to 8° respectively. Significant differences in the amount of scoliotic curve correction were revealed between the groups: in the 1st group mean Cobb angle for the scoliotic curve after surgery was 3,3° (correction — 94%), in the 2nd group — 13,6° (correction — 80%) (p |
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