Ilizarov kyphectomy technique in the management of the gibbus deformity with an open wound in meningomyelocele patients: a case report with five years of follow-up

Karami, Mohsen; Akbarnia, Behrooz A.

doi:10.1007/s00586-021-07058-x

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Mobile scoliosis, lordoscoliosis, and kyphoscoliosis without asymmetrical vertebral segmentation disorders (Figures 5 and 6) [21] Growth-friendly systems (dual growing rods, VEPTR) for Risser 0-3 [16,[21][22][23][24]38] Deformity correction with Schwab I-II osteotomy for Risser 4 Closely monitor fixed spinal cord syndrome Rigid deformities with congenital componenthemivertebra, asymmetrical butterfly vertebrae, asymmetrical unsegmented bar, acute-angle kyphosis, no depend on Risser (Figure 7) [21] Vertebrectomy Schwab III-VI + short posterior spine fusion [15, 21-24, 30, 37] Indirect treatment of spinal cord fixation by shortening the length of the spinal column Deformities complicated by infected bedsores (usually at the apex of kyphosis) (Figure 8) [21,36,45] Two-stage surgical treatment: Stage 1-external temporary fixation (halo-pelvic, transpedicular-pelvic) for stage distraction; Stage 2-kyphectomy with posterior spine fusion [21,36,45].…”

Section: Characteristics Of Spinal Deformity Features Of Orthopedic C...mentioning

confidence: 99%

Spinal deformities in spinal dysraphia syndrome

O. Ryabykh,

M. Sergeenko,

V. Gubin

et al. 2024

Adult and Pediatric Spinal Deformities - Recent Advances and Evolution of Technologies

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Progressive spinal deformity is a significant comorbidity associated with MMC. It leads to loss of truncal height and causes sitting, breathing, eating, and urination difficulties due to increased chest and abdominal pressures. Spinal deformities associated with MMC can be divided into 2 major groups: predominantly neuromuscular kyphoscoliosis or lordoscoliosis and severe rigid kyphosis or sharp-angled kyphosis. Kyphoscoliosis is a common finding in patients with thoracolumbar myelodysplasia, whereas lordoscoliosis is more common in patients with cauda equina and conus medullaris dysplasia. Early surgical correction improves body balance and quality of life and helps reduce the aggressiveness of surgical intervention. The dual growing rod technique is safe and effective in cases of moderate neuromuscular kyphoscoliosis or lordoscoliosis at an early age. Kyphectomy is a challenging procedure with high rates of complications, especially skin problems, but in patients with significant rigid kyphosis, there are no viable alternative procedures.

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