Auto Preservation and Use of Auto Rib at Two-Step Surgical Treatment of Spine Deformities

Abstract


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.

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About the authors

S. V Kolesov

N.N. Priorov Central Institute of Traumatology and Orthopaedics

Moscow, Russia

M. L Sazhnev

N.N. Priorov Central Institute of Traumatology and Orthopaedics

Email: mak.sajnev@yandex.ru
Moscow, Russia

A. A Snetkov

N.N. Priorov Central Institute of Traumatology and Orthopaedics

Moscow, Russia

A. I Kaz’min

N.N. Priorov Central Institute of Traumatology and Orthopaedics

Moscow, Russia

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