Correction of Spine Pathology in Patients with Meningocele

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Treatment results for 8 patients aged 3 to 17 years with neuromuscular spine deformities on the background of meningocele are presented. In all patients spine deformities were accompanied by spinal dysraphias. Average curvature arch was 86°. Surgical treatment was performed either in one (5patients) or in two (3 patients) steps. In 2 patients vertebral column resection (VCR) was performed. Average achieved scoliotic deformity correction made up62% and postoperative value of thoracic/thoracolumbar kyphosis approximated the physiologic one (40°). Surgical treatment of kyphoscoliosis on the background of meningocele that consisted of extensive spine instrumentation with pelvis fixation favoured the normalization of trunk balance, improved cardiopulmonary function, patients’ appearance and life quality. In this group of patients surgical intervention is associated with high intraoperative risk and rate of postoperative complications.

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Коррекция деформаций позвоночника у пациентов с менингоцеле


  1. Ульрих Э.В. Аномалии позвоночника у детей: Руководство для врачей. СПб.: Сотис; 1995.
  2. Kinsman S.L., Johnston M.V. Congenital anomalies of the central nervous system. In: Kliegman R.M., Behrman R.E., Jenson H.B., Stanton B.F., eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 592.
  3. Drummond D.S. Neuromuscular scoliosis: recent concepts. J. Pediatr. Orthop. 1996; 16: 281-83.
  4. Mackel J.L., Lindseth R.E. Scoliosis and myelodysplasia. J. Bone Jt Surg. Am. 1975; 57: 1031.
  5. Osebold W.R., Mayfield J.K., Winter R.B., Moe J.H. Surgical treatment of paralytic scoliosis associated with myelomeningocele. J Bone Jt Surg. Am. 1982; 64: 841-52.
  6. Banta J.V. Combined anterior and posterior fusion for spinal deformity in мyelomeningocele. Spine. 1990; 15: 946-52.
  7. Geiger F., Farsch D., Carstens C. Complications of scoliosis surgery in children with myelomeningocele. Eur. Spine J. 1999; 8: 22-6.
  8. Rodgers W.B., Williams M.S., Schwend R.M., Emans J.B. Spinal deformity in myelodysplasia. Correction with posterior pedicle screw instrumentation. Spine. 1997; 22: 2435-43.
  9. Hsu J.D. Skeletal changes in children with neuromuscular disorders. Prog. Clin. Biol. Res. 1982; 101: 553-7.
  10. McCarthy R.E. Management of neuromuscular scoliosis. Orthop. Clin. North Am. 1999; 30: 435-49.
  11. Kotwicki T., Durmala J., Czubak J. Bracing for neuromuscular scoliosis: orthosis construction to improve the patient’s function. Disabil. Rehabil. Assist. Technol. 2008; 3 (3): 161-9.
  12. Morillon S., Thumerelle C., Cuisset J.M., Santos C., Matran R., Deschildre A. Effect of thoracic bracing on lung function in children with neuromuscular disease Ann. Readapt. Med. Phys. 2007; 50 (8): 645-50.
  13. Sarwark J., Sarwahi V. New strategies and decision making in the management of neuromuscular scoliosis. Orthop. Clin. North Am. 2007; 38 (4): 485-96.
  14. Banta J.V., Drummond D.S., Ferguson R.L. The treatment of neuromuscular scoliosis. Instr. Course Lect. 1999; 48: 551-61.
  15. Barsdorf A.I., Sproule D.M., Kaufmann P. Scoliosis surgery in children with neuromuscular disease: findings from the US National Inpatient Sample, 1997 to 2003. Arch. Neurol. 2010; 67 (2): 231-5.
  16. Benson E.R., Thomson J.D., Smith B.G., Banta J.V. Results and morbidity in a consecutive series of patients undergoing spinal fusion for neuromuscular scoliosis. Spine (Phila Pa 1976). 1998: 23 (21):2308-17.
  17. Bridwell K.H., DeWald R.L., eds. The textbook of spinal surgery. Philadelphia, PA: Lippincott-Raven; 1997: 600-3.
  18. Phillips J.H., Gutheil J.P., Knapp D.R. Jr. Iliac screw fixation in neuromuscular scoliosis. Spine. 2007; 32: 1566-70.
  19. Teli M., Elsebaie H., Biant L., Noordeen H. Neuromuscular scoliosis treated by segmental third-generation instrumented spinal fusion. J. Spinal Disord. Tech. 2005; 18: 430-8.
  20. Gomez C., Cardoso M., Garavito S. Uso de expansores tisulares en el tratamiento quirurgico de la cifosis en pacientes con mielomeningocele. Acta Ortop. Mex. 2008; 22 (3): 162-8.
  21. Odent T., Arlet V., Ouellet J., Bitan F. Kyphectomy in myelomeningocele with a modified Dunn-McCarthy technique followed by an anterior inlayed strut graft. Eur. Spine J. 2004; 13 (3): 206-12.
  22. Morrissy R.T. Atlas of pediatric orthopaedic surgery. Philadelphia, PA: IB Lippincott; 1992: 181.
  23. Vaccaro A.R., Albert T.J., eds. Spine Surgery: Tricks of the Trade. New York, Stuttgart: Thieme, 2009.
  24. Anderson P.R., Puno M.R., Lovell S.L., Swayze C.R. Postoperative respiratory complications in non- idiopathic scoliosis. Acta Anaesthesiol. Scand. 1985; 29: 186-92.



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