The Treatment of Severe Congenital Scoliosis Associated With Type I Split Cord Malformation: Is a Preliminary Bony Septum Resection Always Necessary?
| العنوان: | The Treatment of Severe Congenital Scoliosis Associated With Type I Split Cord Malformation: Is a Preliminary Bony Septum Resection Always Necessary? |
|---|---|
| المؤلفون: | Wenyuan Sui, Xueshi Li, Jingfan Yang, Zifang Huang, Yaolong Deng, Junlin Yang, Hengwei Fan |
| المصدر: | Neurosurgery. 85:211-222 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Cord, Adolescent, medicine.medical_treatment, Radiography, Osteotomy, Young Adult, 03 medical and health sciences, 0302 clinical medicine, medicine, Deformity, Humans, Neural Tube Defects, Retrospective Studies, business.industry, Retrospective cohort study, Spinal cord, Surgery, Treatment Outcome, medicine.anatomical_structure, Scoliosis, 030220 oncology & carcinogenesis, Vertebrectomy, Female, Neurology (clinical), medicine.symptom, business, 030217 neurology & neurosurgery, Vertebral column |
| الوصف: | Background Single-stage spine-shortening osteotomy without treating spinal cord malformations may have potential advantages for the treatment of severe congenital scoliosis (CS) with type I split spinal cord malformation (SSCM); however, the study of this technique was limited. Objective To evaluate the safety and efficacy of a single-stage spine-shortening osteotomy in the treatment of severe CS associated with type I SSCM. Methods A retrospective study was designed to compare 2 case series including 12 severe CS patients with type I SSCM and 26 patients with type A cord function (without spinal cord malformations, evoked potential abnormalities, and neurological dysfunctions preoperatively) treated with a single-stage spine-shortening posterior vertebral column resection (PVCR). Patient demographic, clinical, operative, and radiographic data were obtained and compared between groups. Results The surgical procedure was successfully performed in both groups, and the patients were observed for an average of 44.9 mo (range 25-78 mo) after the initial surgery. The radiographic parameters, intraoperative data, and new neurological deficits showed no difference, while deformity angular ratio (SSCM group: control group = 16.6 ± 3.6: 20.1 ± 3.9, P = .01) and corrective rate (SSCM group: control group = 50%: 58%, P = .046) of the main curve were statistically different between groups. All of the new neurological deficits were recovered within 1 yr. Conclusion The single-stage spine-shortening PVCR with moderate correction could be applied to the treatment of CS associated with type I SSCM. This strategy can achieve safe spinal deformity correction while obviate the neurological complications brought by the detethering procedures, which merits further clinical investigation. |
| تدمد: | 1524-4040 0148-396X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::78939c5ab2d263ab2d8b4aea547f9ec0Test https://doi.org/10.1093/neuros/nyy237Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....78939c5ab2d263ab2d8b4aea547f9ec0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244040 0148396X |
|---|