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Kyphectomy in myelodysplasia
Zeitschrift Fur Kinderchirurgie Und Grenzgebiete
|December 1, 1979
Summary
Surgical treatment for kyphotic deformities in patients with paraplegia and myelomeningocele yielded best results through vertebral resection, interbody fusion, and Harrington rod realignment.
Area of Science:
- Orthopedic Surgery
- Spinal Deformity Correction
Background:
- Kyphotic deformities present significant challenges in patients with paraplegia and myelomeningocele.
- Effective surgical strategies are crucial for improving patient outcomes and quality of life.
Purpose of the Study:
- To present the surgical techniques and outcomes for treating kyphotic deformities in patients with paraplegia and myelomeningocele.
- To identify the most effective surgical approach for spinal realignment in this patient population.
Main Methods:
- Surgical treatment of fourteen patients with paraplegia and myelomeningocele.
- Vertebral resection at the apex of the deformity.
- Interbody fusion promoted by wiring facing vertebrae.
- Correction and maintenance of realignment using a Harrington distraction rod.
Main Results:
- Vertebral resection at the deformity's apex, combined with interbody fusion and Harrington rod stabilization, led to the best outcomes.
- The described surgical techniques were applied to fourteen patients.
Conclusions:
- Vertebral resection, interbody fusion, and Harrington rod distraction are effective for surgical correction of kyphotic deformities in paraplegia and myelomeningocele.
- This combined surgical approach offers a viable solution for spinal realignment in complex cases.