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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
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Posterior vertebral column resection for pediatric rigid spinal deformity.
Mourad Ould-Slimane1, Mohammad Hossein Nabian2, Anne-Laure Simon3
1Department of Orthopedic Surgery, Spine Unit, Rouen University Hospital, institut Rouennais du Rachis, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France.
Orthopaedics & Traumatology, Surgery & Research : OTSR
|December 17, 2020
Summary
Posterior vertebral column resection (PVCR) effectively corrects rigid pediatric spinal deformities with acceptable complication rates. This surgical technique offers significant deformity correction in children.
Area of Science:
- Pediatric Orthopedics
- Spinal Surgery
- Skeletal Dysplasias
Background:
- Vertebral column resection (VCR) is a complex spinal surgery for pediatric deformities.
- Anterior and posterior VCR (APVCR) has high morbidity; posterior VCR (PVCR) is increasingly favored.
Purpose of the Study:
- To evaluate the efficacy and safety of PVCR for treating pediatric spinal deformities.
- To analyze surgical outcomes and complications associated with PVCR in children.
Main Methods:
- Retrospective analysis of pediatric spinal deformity cases treated with PVCR at a single center.
- Evaluation of surgical data, including operative time, blood loss, and correction achieved.
- Assessment of radiological parameters and postoperative complications.
Main Results:
- Sixteen PVCRs were performed in 13 pediatric patients.
- Achieved 64.3% correction of rigid spinal deformities, with sustained results.
- Complications included transient monoplegia, permanent psoas deficit, and four non-unions.
Conclusions:
- PVCR is an effective technique for correcting rigid pediatric spinal deformities.
- Complications are primarily mechanical or neurological, requiring careful management.
