Pedicle Subtraction Osteotomy Versus Multiple Posterior Column Osteotomies in Severe and Rigid Neuromuscular Scoliosis

Bekmez, Şenol; Özhan, Mehmet Özgür; Olgun, Z. Deniz; Süzer, Anıl Mehmet; Ayvaz, Mehmet; Demirkiran, H. Gokhan; Karaağaoğlu, Ergün; Yazıcı, Muharrem

doi:10.1097/brs.0000000000002538

Cited by 20 publications

(29 citation statements)

References 26 publications

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“…Various correction methods have been developed to treat severe scoliosis [18]. Anterior release followed by posterior instrumented fusion has been widely reported in the literature [19].…”

Section: Discussionmentioning

confidence: 99%

A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis

Feng

Huang

et al. 2021

BMC Musculoskelet Disord

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Purpose We previously reported anterior release, posterior internal distraction, and subsequent spinal fusion (ARPIDF) for the correction of severe scoliosis with a satisfactory correction rate. However, surgical procedures were completed in 2–3 stages. Here we compare Cobb angle of ≥90° in scoliosis correction between a novel posterior multiple screws distraction reducer (MSDR) system and ARPIDF. Methods Thirty-six patients with severe scoliosis treated by MSDR or ARPIDF (n = 18 in both groups). We retrospectively analyzed and compared outcome measures between the two groups over a minimum follow-up duration of 2 years. The following variables were compared between the two groups: age at surgery, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, operation time, estimated blood loss, hospitalization time, follow-up duration, various radiological parameters, complication rate, and Scoliosis Research Society-30 score. Results There were no significant between-group differences with respect to age, sex, etiology, flexibility of the main thoracic curve, number of fused segments and screws, and follow-up duration. Further, there was no significant difference in terms of preoperative, postoperative, and final follow-up findings of the radiographic data. However, the ARPIDF group had longer operation and hospitalization times and greater blood loss. In the ARPIDF group, 4 patient developed complications (infection, intraoperative neuromonitoring changes, transient dyspnea); none of these events occurred in the MSDR group. Conclusion The use of MSDR helped achieve greater scoliosis correction with a shorter operation time, lower blood loss, and lower complication rate than the use of ARPIDF. MSDR facilitates safer and easier correction of severe scoliosis without increasing surgical risk.

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“…Various correction methods have been developed to treat severe scoliosis [18]. Anterior release followed by posterior instrumented fusion has been widely reported in the literature [19].…”

Section: Discussionmentioning

confidence: 99%

A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis

Feng

Huang

et al. 2021

BMC Musculoskelet Disord

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“…For this reason, in patients with CP and scoliosis we prefer to perform the traction films under general anaesthesia (Fig. 1 a-g), prior to the surgical procedure and this way we can better assess not only the curve flexibility but also the degree of PO correction as has been shown by Bekmez et al 19 Deformities in the sagittal plane should be assessed with radiographs in the lateral position, which sometimes may not be easy. For kyphosis a supine lateral view should be taken with a bolster positioned at the apex of the deformity and for lordosis, the radiograph should be taken with one hip hyperflexed to minimize the lordosis effect.…”

Section: Pre-operative Spinal Assessmentmentioning

confidence: 99%

Technical aspects of surgical correction of spinal deformities in cerebral palsy

Mineiro

Yazıcı

2020

Journal of Children's Orthopaedics

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Purpose Cerebral palsy (CP) is a disorder arising from a non-progressive lesion in the developing immature brain with an encephalopathy, that results in various levels of motor and sensory dysfunction. Motor disability of these children can be assessed by the Gross Motor Function Classification System in five levels, and depending on their motor functional capability, the most severely affected children fall into levels IV and V. Children in groups IV and V present a full spectrum of musculoskeletal deformities, among which, scoliosis is the most frequently found spinal deformity that most often requires surgical treatment. However, these are procedures that are usually technically demanding, requiring experienced surgical teams and a multidisciplinary approach. Methods In order to overcome some of the technical pitfalls that may complicate these complex surgical procedures, the authors have gathered together different tips and tricks that may help surgeons performing surgical correction of spinal deformities in CP children. Conclusion Although for these children surgery is a major undertaking, with the multidisciplinary approach and advances of technology, anaesthesia and optimization of pre- and postoperative care, complications are manageable in most cases, improving not only the outcome of surgery but also the patient’s quality of life and satisfaction of parents and caretakers.

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“…Bekmez ve ark. [37] tarafından yapılan yakın zamanlı çalışmaya göre, nöromusküler skolyoz hastalarında posterior yaklaşımlı osteotomilerin deformite düzeltilmesinde yeterli olduğu belirtilmiştir. Bu çalışmada hastalar iki gruba ayırılıp, bir gruba pedikül subtraction osteotomi (PSO) ve diğer gruba da çoklu posterior kolon osteotomileri (PCO) uygulanmıştır.…”

Section: Cerrahi̇ Tekni̇klerunclassified

Serebral palside omurga sorunları ve tedavi yöntemleri

Ulus¹,

Yazıcı²

2018

TOTBID

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Türk Ortopedi ve Travmatoloji Birliği Derneği bütünüyle ortadan kaldırmak yerine ikincil bulguları azaltmaya odaklanılır. Nöromusküler bozukluk ile ilişkili olan kas imbalansı, omurga üzerinde anormal yüklenmeye neden olur. İskeleti olgunlaşmamış bireyde kas imbalansına bağlı anormal yüklenme, vertebra cisiminin asimetrik büyümesi ile sonuçlanır. Spinal deformitenin tedavisi ve SP'li hastaların yürüyebilmesini sağlama çalışmaları, birbirinden farklı yaklaşımlar gerektirir. Omurga eğriliği statik, yürüme sorunları dinamiktir. Bunun dışında,

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Pedicle Subtraction Osteotomy Versus Multiple Posterior Column Osteotomies in Severe and Rigid Neuromuscular Scoliosis

Abstract: 4.

Cited by 20 publications

References 26 publications

A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis

A novel posterior multiple screws distraction reducer system versus anterior release, posterior internal distraction, and subsequent spinal fusion for severe scoliosis

Technical aspects of surgical correction of spinal deformities in cerebral palsy

Serebral palside omurga sorunları ve tedavi yöntemleri

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