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Short-term X-ray results of posterior vertebral column resection in severe congenital kyphosis, scoliosis, and kyphoscoliosis.
Spine (Phila Pa 1976). 2012 May 20; 37(12):1054-7.S

Abstract

STUDY DESIGN

Retrospective case series.

OBJECTIVE

To analyze the efficacy and safety of posterior vertebral column resection performed on a consecutive series of patients with severe congenital spinal deformity.

SUMMARY OF BACKGROUND DATA

The treatment of severe congenital spinal deformities is a demanding and difficult surgical challenge. Conventional procedures, such as posterior and anterior instrumentation or combined anteroposterior instrumentation provide limited correction in rigid neglected or maltreated (fused) deformities.

METHODS

Forty-four patients with severe deformity and managed by posterior vertebral column resection between years 1997 and 2007 having more than 2 years of follow-up were included. Mean age was 8 (range, 2-28) years at the time of operation. The hospital charts were reviewed for demographic data and etiology of deformity. Measurements of curve magnitude and balance were made on 36-in. standing anteroposterior and lateral radiographs obtained before surgery and at most recent follow-up to assess deformity correction, spinal balance, complications related to the instrumentation, and any evidence of pseudarthrosis.

RESULTS

Preoperative coronal plane major curve of 106° (range, 90°-132°) with flexibility of less than 30% was corrected to 41.4° (range, 20°-72°), showing a 61% scoliosis correction at the final follow-up. Coronal imbalance was improved by 79% at the most recent follow-up assessment. Preoperative thoracic kyphosis of 87° (range, 67°-103°) in patients with kyphosis was corrected to 36° (range, 25°-48°) at the most recent follow-up evaluation. Lumbar lordosis of 27° (range, 8°-35°) in patients with hypolordotic deformity was corrected to 45°. Complications included postoperative infection in 2 patients, dural laceration in 2 patients, and hemopneumothorax in 1 patient.

CONCLUSION

Posterior vertebral column resection is an effective technique providing a successful correction of stiff complex congenital deformities. However, it is a technically demanding procedure, with possible risks for major complications.

Authors+Show Affiliations

Istanbul Spine Center, Florence Nightingale Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22024907

Citation

Ozturk, Cagatay, et al. "Short-term X-ray Results of Posterior Vertebral Column Resection in Severe Congenital Kyphosis, Scoliosis, and Kyphoscoliosis." Spine, vol. 37, no. 12, 2012, pp. 1054-7.
Ozturk C, Alanay A, Ganiyusufoglu K, et al. Short-term X-ray results of posterior vertebral column resection in severe congenital kyphosis, scoliosis, and kyphoscoliosis. Spine (Phila Pa 1976). 2012;37(12):1054-7.
Ozturk, C., Alanay, A., Ganiyusufoglu, K., Karadereler, S., Ulusoy, L., & Hamzaoglu, A. (2012). Short-term X-ray results of posterior vertebral column resection in severe congenital kyphosis, scoliosis, and kyphoscoliosis. Spine, 37(12), 1054-7. https://doi.org/10.1097/BRS.0b013e31823b4142
Ozturk C, et al. Short-term X-ray Results of Posterior Vertebral Column Resection in Severe Congenital Kyphosis, Scoliosis, and Kyphoscoliosis. Spine (Phila Pa 1976). 2012 May 20;37(12):1054-7. PubMed PMID: 22024907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term X-ray results of posterior vertebral column resection in severe congenital kyphosis, scoliosis, and kyphoscoliosis. AU - Ozturk,Cagatay, AU - Alanay,Ahmet, AU - Ganiyusufoglu,Kursat, AU - Karadereler,Selhan, AU - Ulusoy,Levent, AU - Hamzaoglu,Azmi, PY - 2011/10/26/entrez PY - 2011/10/26/pubmed PY - 2012/12/10/medline SP - 1054 EP - 7 JF - Spine JO - Spine (Phila Pa 1976) VL - 37 IS - 12 N2 - STUDY DESIGN: Retrospective case series. OBJECTIVE: To analyze the efficacy and safety of posterior vertebral column resection performed on a consecutive series of patients with severe congenital spinal deformity. SUMMARY OF BACKGROUND DATA: The treatment of severe congenital spinal deformities is a demanding and difficult surgical challenge. Conventional procedures, such as posterior and anterior instrumentation or combined anteroposterior instrumentation provide limited correction in rigid neglected or maltreated (fused) deformities. METHODS: Forty-four patients with severe deformity and managed by posterior vertebral column resection between years 1997 and 2007 having more than 2 years of follow-up were included. Mean age was 8 (range, 2-28) years at the time of operation. The hospital charts were reviewed for demographic data and etiology of deformity. Measurements of curve magnitude and balance were made on 36-in. standing anteroposterior and lateral radiographs obtained before surgery and at most recent follow-up to assess deformity correction, spinal balance, complications related to the instrumentation, and any evidence of pseudarthrosis. RESULTS: Preoperative coronal plane major curve of 106° (range, 90°-132°) with flexibility of less than 30% was corrected to 41.4° (range, 20°-72°), showing a 61% scoliosis correction at the final follow-up. Coronal imbalance was improved by 79% at the most recent follow-up assessment. Preoperative thoracic kyphosis of 87° (range, 67°-103°) in patients with kyphosis was corrected to 36° (range, 25°-48°) at the most recent follow-up evaluation. Lumbar lordosis of 27° (range, 8°-35°) in patients with hypolordotic deformity was corrected to 45°. Complications included postoperative infection in 2 patients, dural laceration in 2 patients, and hemopneumothorax in 1 patient. CONCLUSION: Posterior vertebral column resection is an effective technique providing a successful correction of stiff complex congenital deformities. However, it is a technically demanding procedure, with possible risks for major complications. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/22024907/Short_term_X_ray_results_of_posterior_vertebral_column_resection_in_severe_congenital_kyphosis_scoliosis_and_kyphoscoliosis_ L2 - https://doi.org/10.1097/BRS.0b013e31823b4142 DB - PRIME DP - Unbound Medicine ER -