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


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

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


  1. Берченко Г.Н. Применение искусственных кальциево-фосфатных биоматериалов в травматологии и ортопедии. В кн.: Сборник работ Всероссийской научно-практической конференции «Применение искусственных кальциево-фосфатных биоматериалов в травматологии и ортопедии». М.; 2010: 3-5.
  2. Казьмин А.И., Кон И.И., Беленький В.Е. Сколиоз. М.: Медицина; 1981.
  3. Цивьян Я.Л. Хирургия позвоночника. М.: Медицина; 1966.
  4. Kusakabe T., Mehta J.S., Gaines R.W. Short segment bone-on-bone instrumentation for adolescent idiopathic scoliosis: a mean follow-up of six years. Spine (Phila Pa 1976). 2011; 36 (14): 1123-30.
  5. Колесов С.В., Шаболдин А.Н., Сажнев М.Л., Переверзев В.С., Казьмин А.И. Хирургическое лечение тяжелых нейромышечных деформаций позвоночника. В кн.: Материалы всероссийской научно-практической конференции «Классика и инновации в травматологии и ортопедии». Саратов; 2016: 204-6.
  6. Колесов С.В., Сажнев М.Л., Снетков А.А. «Cпособ двухэтапного хирургического лечения деформации позвоночника с использованием аутоконсервации резецированного ауторебра». Патент РФ № 2515483; 2014.
  7. Bridwell K.H., Lenke L.G., McEnery K.W., Balbus C., Blanke K. Anterior structural allografts in the thoracic and lumbar spine. Do they work if combined with posterior fusion and instrumentation in adult patients with kyphosis or anterior column defects? Spine. (Phila Pa 1976). 1995; 20: 1410-8.
  8. Betz R.R., Lavelle W.F., Samdani A.F. Bone grafting options in children. Spine (Phila Pa 1976). 2010; 35 (17): 1648-54.
  9. Violas P., Chapuis M., Bracq H. Local autograft bone in the surgical management of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2004; 29 (2): 189-92.
  10. Price C.T., Connolly J.F., Carantzas A.C., Ilyas I. Comparison of bone grafts for posterior spinal fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2003; 28 (8): 793-8.
  11. Skaggs D. Posterior spinal fusion was not improved by supplemental bone graft in adolescent idiopathic scoliosis. J. Bone Joint Surg. Am. 2006; 88 (10): 2313.
  12. Yang X., Xu H., Li M., Gu S., Fang X., Wang J., Ni J., Wu D. Clinical and radiographic outcomes of the treatment of adolescent idiopathic scoliosis with segmental pedicle screws and combined local autograft and allograft bone for spinal fusion: a retrospective case series. BMC Musculoskelet. Disord. 2010; 11: 159.
  13. Матюшин А.Ф., Гаврилов В.А. Отдаленные результаты переднего спондилодеза васкуляризованным трансплантатом из ребра в лечении тяжелого кифосколиоза при нейрофиброматозе. Хирургия позвоночника. 2012; 4: 41-8.



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