Open AccessAuto Preservation and Use of Auto Rib at Two-Step Surgical Treatment of Spine Deformities
Author(s) -
С. В. Колесов,
М. Л. Сажнев,
A. A. Snetkov,
A. I Kaz’min
Publication year - 2016
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto201623328-32
Subject(s) - medicine , kyphoscoliosis , surgery , scoliosis , deformity , spinal fusion , vertebral column , rib cage , fixation (population genetics) , bony fusion , anatomy , radiography , population , environmental health
The possibility of preservation and use of a resected rib for dorsal fusion at final correction of spinal deformity was studied. Treatment results for 80 patients aged 15 to 45 years, with severe spine deformity (scoliosis or kyphoscoliosis) were analyzed. In all patients two step surgical interventions was performed. Either transpedicular or hybrid (screws and sublaminar cerclage) fixation of the vertebral column were performed in 37 and 43 cases, respectively. After ventral release the resected ribs were stitched to subcutaneous fatty tissue and preserved until the time of final dorsal correction. The follow-up period made up 1 - 2 years. Fusion formation and autograft reconstruction was confirmed by radiologic methods. It was shown that rib auto preservation technique was a simple one, did not require special preservation conditions and allowed to preserve sufficient volume of autograft for final spinal deformity correction.