Surgical treatment of children with idiopathic thoracolumbar scoliosis using transpedicular spinal systems

Cover Page


Cite item

Full Text

Abstract

Purpose of the study. Evaluation of the surgical treatment of children with idiopathic scoliosis of thoracolumbar localization. Materials and methods. Surgery was performed on 33 patients aged from 13 to 17 years with a curve approximating 42°-123°, according to Cobb. Surgical correction of the deformity was performed using three tactical options with the use of a transpedicular multi-basic metallic device. Results. In idiopathic thoracolumbar scoliosis, the surgical correction ranged from 74% to 100%. Loss of correction in the follow-up period from 2 to 5 years was 2°-4°. Conclusion. Surgical treatment of children with idiopathic thoracolumbar scoliosis depends on the degree of the main curve, spinal mobility, and the patient's age. Application of a multi-basic transpedicular metallic device allows significant correction of the angle of the curve, a true de-rotation of vertebral bodies at the apex of the curve to be performed, and the frontal and sagittal profile of the spine to be restored while maintaining the results achieved in the late postoperative period.

About the authors

Sergei Valentinovich Vissarionov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Author for correspondence.
Email: turner01@mail.ru

MD, PhD, professor, Deputy Director for Research and Academic Affairs, head of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Professor of the chair pediatric traumatology and orthopedics. North-Western State Medical University n. a. I. I. Mechnikov.

Nurbek Nadirovich Nadirov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: nurbeknadir@mail.ru

MD, PhD student of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

Sergei Mikhailovich Belyanchikov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: belijanchikov@list.ru

MD, PhD, chief of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Dmitriy Nikolaevich Kokushin

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: turner01@mail.ru

MD, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

Vladislav Valerievich Murashko

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: turner01@mail.ru

MD, orthopedic and trauma surgeon of the department of spine pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics

Kirill Aleksandrovich Kartavenko

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: turner01@mail.ru

MD, PhD student of the chair of pediatric traumatology and orthopedics. North-Western State Medical University n. a. I. I. Mechnikov

References

  1. Ветрилэ С.Т., Кулешов А.А., Кисель А.А., и др. Дорсальная хирургическая коррекция сколиоза инструментарием Cotrel - Dubousset без и с предварительной галопельвиктракцией // Хирургия позвоночника. - 2005. - № 4. - С. 32-40.
  2. Виссарионов С.В., Кокушин Д.Н., Белянчиков С.М., и др. Хирургическая коррекция идиопатического сколиоза тип Lenke I у детей с применением 3D-КТ-навигации // Международный журнал прикладных и фундаментальных исследований. - 2014. - №11. - Часть 3. - С. 445-447.
  3. Михайловский М.В., Новиков В.В., Васюра А.С., и др. Хирургическое лечение идиопатических сколиозов грудной локализации // Хирургия позвоночника. - 2006. - № 1. - С. 25-32.
  4. Ветрилэ С.Т., Кулешов А.А., Швец В.В., и др. Концепция оперативного лечения различных форм сколиоза с использованием современных технологий // Хирургия позвоночника. - 2009. - № 4. - С. 21-30. doi: 10.14531/ss2009.4.21-30.
  5. Виссарионов С.В., Кокушин Д.Н., Белянчиков С.М., и др. Хирургическое лечение деформаций позвоночника у детей с идиопатическим сколиозом транспедикулярными спинальными системами: Пособие для врачей. - СПб., 2014. - 40 с.
  6. Виссарионов С.В., Белянчиков С.М., Кокушин Д.Н., Мурашко В.В., и др. Результаты коррекции деформации позвоночника транспедикулярными спинальными системами у детей с идиопатическим сколиозом // Хирургия позвоночника. - 2013. - № 3. - С. 30-37. doi: 10.14531/ss2013.3.30-37.
  7. Singla A, Bennett JT, et al. Results of Selective Thoracic Versus Nonselective Fusion in Lenke Type 3 Curves. Spine. 2014;39(24):2034-2041. doi: 10.1097/BRS.0000000000000623.
  8. Hwang SW, Samdani AF, Marks M, et al. Five-year clinical and radiographic outcomes using pedicle screw only constructs in the treatment of adolescent idiopathic scoliosis. Eur Spine J. 2013;22(6):1292-1299. doi: 10.1007/s00586-012-2625-0.
  9. Liljenqvist U, Lepsien U, Hackenberg L, et al. Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur Spine J. 2002;11:336-343. doi: 10.1007/s00586-002-0415-9.
  10. Suk S, Lee S-M, Chung E-R, et al. Selective Thoracic Fusion With Segmental Pedicle Screw Fixation in the Treatment of Thoracic Idiopathic Scoliosis. More than 5-Year Follow-Up. Spine. 2005;30(14):1602-1609. doi: 10.1097/01.brs.0000169452.50705.61.
  11. Kuklo TR, Lenke LG, O'Brien MF, et al. Accuracy and Efficacy of Thoracic Pedicle Screws in Curves More Than 90°. Spine. 2005;30(2):222-226. doi: 10.1097/01.brs.0000150482.26918.d8.
  12. Amiot LP, Lang K, Putzier M, et al. Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar, and sacral spine. Spine. 2000;25:606-614. doi: 10.1097/00007632-200003010-00012.
  13. Fuster S, Vega A, Barrios G, et al. Accyracy of pedicle screw insertion in the thoracolumbar spine using image-guided navigation. Neurocirugia. 2010;21:306-311. doi: 10.1016/s1130-1473(10)70123-8.
  14. Kim Y, Lenke L, Kim J, et al. Comparative analysis of pedicle screw versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine. 2006;31(3):291-298. doi: 10.1097/01.brs.0000197865.20803.d4.
  15. Nottmeier EW, Seemer W, Young PM. Placement of thoracolumbar pedicle screws using three-dimensional image guidance: experience in a large patient cohort. J Neurosurg Spine. 2009;10:33-39. doi: 10.3171/2008.10.spi08383.
  16. Tormenti MJ, Kostov DB, Gardner PA, et al. Intraoperative computed tomography image-guided navigation for posterior thoracolumbar spinal instrumentation in spinal deformity surgery. Neurosurg Focus. 2010;28:E11. doi: 10.3171/2010.1.focus09275.
  17. Zhou D, Xu NW, Nong LM, et al. Pedicle screw fixation of thoracic spinal fracture assisted by CT-based navigation system. 2010;90(23):1612-4.
  18. Виссарионов С.В., Дроздецкий А.П., Кокушин Д.Н., Белянчиков С.М. Коррекция идиопатического сколиоза под контролем 3D-КТ навигации // Хирургия позвоночника. - 2012. - № 2. - С. 30-36. doi: 10.14531/ss2012.2.30-36.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2015 Vissarionov S.V., Nadirov N.N., Belyanchikov S.M., Kokushin D.N., Murashko V.V., Kartavenko K.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС77-54261 от 24 мая 2013 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies