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Whole-body PET/MRI of Pediatric Patients: The Details That Matter
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Whole-body PET/MRI of Pediatric Patients: The Details That Matter

Published on: December 19, 2017

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Multilevel spinal reconstruction in pediatric patients under 4 years old with non-congenital pathology (10-year

Alexander Yu Mushkin1,2, Denis G Naumov3, Valery A Evseev3

  • 1Saint-Petersburg Research Institute of Phthisiopulmonology, Politechnicheskaya str. 32, Saint Petersburg, Russia, 194064. aymushkin@mail.ru.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|September 9, 2018
PubMed

Insights

Anterior spinal fusion using titanium mesh cages with bone grafts (TMC+BG) in young children is safe and effective. This method reduces operation time, blood loss, and complication rates compared to bone grafts alone for multilevel spinal reconstructions.

Area of Science:

  • Pediatric Orthopedics
  • Spinal Surgery
  • Biomaterials in Spine Fusion

Background:

  • Multilevel spinal reconstructions are complex procedures in young children.
  • Deformities like kyphosis necessitate surgical intervention.
  • Evaluating anterior fusion techniques is crucial for optimizing outcomes.

Purpose of the Study:

  • To assess the short- and long-term outcomes of anterior fusion options in pediatric multilevel spinal reconstructions.
  • To compare titanium mesh cage with bone graft (TMC+BG) versus bone graft (BG) only for anterior fusion.

Main Methods:

  • Retrospective analysis of 45 patients under 4 years old undergoing spinal reconstruction for spondylitis or tumors.
  • Comparison of outcomes between TMC+BG (19 patients) and BG only (26 patients) groups.
  • Data collected included clinical and radiographic parameters, with an average follow-up of 5 years 10 months.

Main Results:

  • Deformity correction was similar between groups.
  • The TMC+BG group showed significantly less operation time, blood loss, and time for anterior bone block formation.
  • The TMC+BG group had a lower complication rate (2 vs. 8 cases), including pseudoarthrosis and graft resorption.

Conclusions:

  • Multilevel spinal reconstruction in young children is a safe and effective procedure.
  • Anterior fusion with TMC+BG offers advantages over bone autograft alone, reducing complications and surgical burden.
  • TMC+BG is a superior anterior fusion option for pediatric spinal reconstructions.
Abstract

Keywords:
Pediatric spineSpinal surgerySpondylitisTitanium mesh cage

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