Open AccessSURGERY FOR CONGENITAL VERTEBRAL ABNORMALITIES USING TRANSPEDICULAR FIXATION IMPLANTS IN INFANTS
Author(s) -
Eduard Ulrikh,
Sergey Vissarionov,
Александр Юрьевич Мушкин
Publication year - 2005
Publication title -
hirurgiâ pozvonočnika
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 3
eISSN - 2313-1497
pISSN - 1810-8997
DOI - 10.14531/ss2005.3.56-60
Subject(s) - medicine , scoliosis , surgery , fixation (population genetics) , vertebra , deformity , congenital scoliosis , lumbar , kyphosis , kyphoscoliosis , vertebral column , radiography , population , environmental health
Objectives. To assess the possibility of application of transpedicular fixation for congenital spine deformities in patients early than 5 years old. Materials and Methods. Eleven patients aged from 1.5 to 5 years with congenital vertebral scoliosis and kyphoscoliosis caused by abnormalities in formation of thoracolumbar and lumbar vertebrae were operated on using spinal instrumentation with transpedicular support elements. Four patients had single vertebra malformation, and seven patients – multiple ones. Results. Surgically achieved correction of the deformity was 92–100 % for a single hemivertebra and 50–70 % for multiple abnormalities. Stable fixation was achieved in all cases. The use of transpedicular supporting elements in infants with congenital scoliosis resulted from vertebral formation failure in thoracolumbar and lumbar spine is a method of choice in cases with severe deformity and underdevelopment or absence of posterior vertebral elements. Conclusion. Installation of transpedicular screws in infant’s lumbar vertebral bodies is a realizable procedure, which has some advantages as compared with traditional hook supports.