SURGICAL TREATMENT OF L5-SPONDYLOLISTHESIS VERTEBRAE IN CHILDREN. BENEFITS OF POSTERIOR APPROACH

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Abstract

Objective to develop current options of surgical treatment of L5-spondylolisthesis in children. Materials and methods: 48 patients were observed and underwent surgical treatment at age of 10-17 years. In 9 patients spondylolisthesis of L5 was grade 2, in 14 - grade 3, in 12 - grade 4. 9 patients had spondyloptosis of the body of L5-vertebra. The article presents different options of surgical treatment of spondylolisthesis in children depending on the degree of vertebrae body shift and the main clinical manifestations. During surgery the anatomy of the vertebral canal and the normal interposition in the pathological segment were reconstructed. It resulted in normalization of the body balance and regression of neurological symptoms. Results: in spondylolisthesis grade 2 and 3 full reduction was achieved. In patients with grade 4 spondylolisthesis deformity was reduced to grade 2-3. Pain and radicular syndromes regressed in 2-3 days after surgery. In patients with monoparesis and contractures regression of neurological deficit took 1-1,5 months. Conclusions: The method of surgical treatment in patients with spondylolisthesis of L5 vertebrae depends on the degree of vertebrae shifting presence of segmental instability and neurological sighns.

About the authors

Sergei Valentinovich Vissarionov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: turner01@mail.ru
MD, PhD, DMedSc, Deputy Director for science, head of the department of spinal pathology and neurosurgery.

Vladislav Valerievich Murashko

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery

Sergei Mikhailovich Belyanchikov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: belijanchikov@list.ru
MD, PhD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery

Dmitriy Nikolaevich Kokushin

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, research associate of the department of spinal pathology and neurosurgery

Irina Yurievna Solokhina

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, neurologist, research associate of the department of spinal pathology and neurosurgery

Irina Anatolievna Guseva

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, specialist of functional diagnostics

Tatyana Valerievna Murashko

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, the radiologist of the сabinet of computed tomography

Maria Sergeevna Pavlova

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, anesthesiologist-resuscitator

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Copyright (c) 2014 Vissarionov S.V., Murashko V.V., Belyanchikov S.M., Kokushin D.N., Solokhina I.Y., Guseva I.A., Murashko T.V., Pavlova M.S.

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