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Comparative analysis of the results of correction of congenital spinal deformity in isolated semivertebrae in preschool and primary school-age children
- Authors: Vissarionov S.V.1, Filippova A.N.1, Kokushin D.N.1, Khardikov M.A.1, Ryzhikov D.V.1, Shabunin A.S.1, Serikov V.V.2
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Saint-Petersburg Institute of Emergency Care named after I.I. Dzhanelidze
- Issue: Vol 10, No 2 (2022)
- Pages: 121-128
- Section: Clinical studies
- URL: https://journals.eco-vector.com/turner/article/view/100338
- DOI: https://doi.org/10.17816/PTORS100338
- ID: 100338
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Abstract
BACKGROUND: Despite a detailed study of the natural development of congenital spinal deformity in isolated semivertebrae and methods of surgical correction of this pathology, some issues remain unclear. The age at which surgical correction of congenital spinal deformity should be performed is a debated issue among specialists.
AIM: To conduct a comparative analysis of the effectiveness of correction of spinal deformity in children with congenital kyphoscoliosis with isolated semivertebrae of preschool and primary school-age children.
MATERIALS AND METHODS: We included 26 patients aged 21 months to 69 months (10 girls and 16 boys) with congenital kyphoscoliosis caused by an isolated semivertebra. The patients underwent partial or complete resection of the semivertebral disk with adjacent intervertebral disks from dorsal or combined access, correction and stabilization of congenital spinal deformity with a posterior multisupport metal structure. Participants were sectioned into two age groups: the first group — children under 4 years (14 children), the second group — children 6 years and older (12 children).
RESULTS: Metal fixation during surgical treatment in children of primary school age as well as in preschool children was carried out in the majority of cases polysegmentarily. Regarding the choice of surgical treatment access, dorsal surgical access was more often preferred in the second group of patients. The duration of surgical intervention and volume of blood loss between different age groups were similar with dorsal and combined access. In the group of preschool children, destabilization of the metal structure was noted in the early postoperative period when performing control radiographs after surgical treatment in three cases. In the second group, spinal deformity of dysplastic genesis after surgical treatment was detected in three cases.
CONCLUSIONS: The effectiveness of surgical treatment of congenital deformity is significantly higher in younger children compared to that in school-age patients.
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About the authors
Sergey V. Vissarionov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
Scopus Author ID: 6504128319
ResearcherId: P-8596-2015
MD, PhD, Dr. Sci. (Med.), Professor, Corresponding Member of RAS
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Alexandra N. Filippova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: alexandrjonok@mail.ru
ORCID iD: 0000-0001-9586-0668
SPIN-code: 2314-8794
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Dmitriy N. Kokushin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: partgerm@yandex.ru
ORCID iD: 0000-0002-2510-7213
SPIN-code: 9071-4853
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Mikhail A. Khardikov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: denica1990@bk.ru
ORCID iD: 0000-0002-8269-0900
SPIN-code: 3378-7685
Scopus Author ID: 57203014683
MD
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Dmitriy V. Ryzhikov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: dryjikov@yahoo.com
ORCID iD: 0000-0002-7824-7412
SPIN-code: 7983-4270
MD, PhD, Cand. Sci. (Med.)
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Anton S. Shabunin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: anton-shab@yandex.ru
ORCID iD: 0000-0002-8883-0580
SPIN-code: 1260-5644
Scopus Author ID: 57191623923
Research Associate
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Valeriy V. Serikov
Saint-Petersburg Institute of Emergency Care named after I.I. Dzhanelidze
Author for correspondence.
Email: neurosurgeon.vs@gmail.com
ORCID iD: 0000-0002-3165-3173
SPIN-code: 1995-4525
Scopus Author ID: 57226561827
ResearcherId: AAB-7745-2020
MD, Junior Research Associate
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603References
- Goldstein I, Makhoul IR, Weissman A, et al. Hemivertebra: prenatal diagnosis, incidence and characteristics. Fetal Diagnosis and Therapy. 2005;20(2):121−126. doi: 10.1159/000082435
- Kazaryan IV, Vissarionov SV, Razorenova TS, Larionova VI. Predicting the natural history of congenital spinal deformity in children. Khirurgiyapozvonochnika [Spine Surgery]. 2013;(4):23–29. doi: 10.14531/ss2013.4.23-29
- Ryabykh SO, Ulrikh EV. Transpedicularhemivertebra resection in children. Khirurgiyapozvonochnika [Spine Surgery]. 2013;(4):30−35. (In Russ.). doi: 10.14531/ss2013.4.30-35
- Ulrich EV, Mushkin AY. Surgical correction of congenital spinal abnormalities in children. Saint Petersburg: ELBY; 2007. (In Russ.)
- Zhu X, Wei X, Chen J, et al. (2014). Posterior hemivertebra resection and monosegmental fusion in the treatment of congenital scoliosis. Annals of the Royal College of Surgeons of England. 2014;96(1):41−44. doi: 10.1308/00358841
- Leung YL, Grevitt M, Henderson L, Smith J. Cord monitoring changes and segmental vessel ligation in the ‘at risk’ cord during anterior spinal deformity surgery. Spine. 2005;30(16):1870–1874. doi: 10.1097/01.brs.0000173902.68846.73
- Ruf M, Harms J. Posterior hemivertebra resection with transpedicular instrumentation: early correction in children aged 1 to 6 years. Spine. 2003;28(18):2132–2138. doi: 10.1097/01.BRS.0000084627.57308.4A
- Ruf M, Jensen R, Letko L, Harms J. Hemivertebra resection and osteotomies in congenital spine deformity. Spine. 2009;34(17):1791–1799. doi: 10.1097/BRS.0b013e3181ab6290
- Zhang J, Shengru W, Qiu G, et al. The efficacy and complications of posterior hemivertebra resection. Eur Spine J. 2011;(10):1692–1702. doi: 10.1007/s00586-011-1710-0
- Sucato D, McClung A, Shaha J, Matthys A, Saran N. Congenital scoliosis: a single institution experience with long-term follow-up. Scoliosis Research Society 46th Annual Meeting & Course, Louisville, Kentucky, Sept 14–17, 2011. Louisville: AbstractBook; 2011:103−108.
- Vissarionov SV, Kokushin DN, Kartavenko KA, Efremov AM. Surgical treatment of children with congenital deformity of the lumbar and lumbosacral spine. Spine surgery. 2012;(3):33−37. (In Russ.). doi: 10.14531/ss2012.3.33-37
- Vissarionov SV, Kartavenko KA, Kokushin DN, Efremov AM. Surgical treatment of children with congenital thoracic spine deformity associated with vertebral malformation. Spine surgery. 2013;(2):32−37. (In Russ.). DOI: 10.14531/ ss2013.2.32-37
- Mushkin AY, Naumov DG, Umenushkina EY. Thoracic and lumbar hemivertebra excision in pediatric patients: how does the operation technique influence on outcomes (сohort analysis and literature review)? Traumatology and Orthopedics of Russia. 2018;24(3):83−90. (In Russ.). doi: 10.21823/2311-2905-2018-24-3-83-90
- Mikhailovsky MV, Novikov VV, Vasyura AS, et al. Surgical treatment of congenital kyphosis in patients older than 10 years. Hir Pozvonoc. 2016;13(1):20–26. (In Russ.). doi: 10.14531/ss2016.1.20-26
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