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Updated: Feb 24, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
[Surgical treatment of hip subluxation and luxation in children with spinal hernia consequences]
S V Ivanov1, A G Baindurashvili1, V M Kenis1
1Turner Research Institute for Pediatric Orthopedics, Health Ministry of the Russian Federation, St. Petersburg, Russia.
Aim:
To determine surgical tactics for hip subluxation and luxation in children with spinal hernia consequences.
Material And Methods:
The study included 134 patients with hip subluxation and luxation with consequences of cerebrospinal hernias who were examined at the Turner Research Institute for Children's Orthopedics in 2006-2016. The main group consisted of 69 patients who received surgical treatment with hip joint stabilization. The control group included 65 children without surgery. Within each group patients were divided into 2 subgroups depending on level of spinal cord injury by using of Sharrard technique.
Results:
In patients with high lesion (Th and LI-LII) surgical treatment led to impairment of motor function in most cases (71%) (archival material); in case of LIII-LIV and LV-SI segments 25 of 45 (55%) patients improved motor performance while in control group motor function was deteriorated in 13 of 35 (37%) cases.
Conclusion:
Neurosegmental level allows to predict the motor function and to determine surgical tactics.
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