Staged Surgical Treatment of Posttraumatic Deformities in the Thoracic and Lumbar Spine

Рерих, В. В.; Borzykh, Konstantin

doi:10.14531/ss2016.4.21-27

Cited by 8 publications

(5 citation statements)

References 22 publications

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“…Some articles addressed this by using the Sagittal Index, the SRS-criteria or the Effective Regional Deformity. 28,30,31,47,61,[65][66][67] Spinopelvic parameters are of great importance to assess the spine and are extensively studied in the context of degenerative spine diseases as opposed to the context of a traumatic spine. Already, the use of various spinopelvic parameters in Adult Spinal Deformity is encouraged for surgical planning.…”

Section: Discussionmentioning

confidence: 99%

“…Also, a correlation was found between the deviation of SVA and the ODI and VAS of pain. 65 All these correlations were studied with different definitions of SPTD and are therefore difficult to interpret, compare and repeat.…”

Section: Discussionmentioning

confidence: 99%

“…Compensation was suspected in 3 articles if deviation of the normal spinal alignment, as stated by the Scoliosis Research Society, was present. 31,65,67 Other signs of compensation mechanisms were: a PT >20 or a PT higher than expected; and an increased PT with flexion of the hips. 30,45 Kandziora et al and Boehm et al stated that the spinopelvic parameters could discern between 2 types of SPTD: 1. the compensated and/or sagittal balanced; 2. the sagittal imbalanced.…”

Section: Spinopelvic Parameters In Sptdmentioning

confidence: 93%

“…Three articles used the SRS-criteria for adult spinal deformity to see if the deformity exceeded the normal anatomy of the spine. 31,65,67 All these different amounts of deformity were defined as SPTD.…”

Section: Patient Factorsmentioning

confidence: 99%

See 3 more Smart Citations

The Current Status of Spinal Posttraumatic Deformity: A Systematic Review

Gendt

Vercoulen

Joaquim

et al. 2020

Global Spine Journal

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Study Design: Systematic Review. Objective: To systematically analyze the definitions and descriptions in literature of “Spinal Posttraumatic Deformity” (SPTD) in order to support the development of a uniform and comprehensive definition of clinically relevant SPTD. Methods: A literature search in 11 international databases was performed using “deformity” AND “posttraumatic” and its synonyms. When an original definition or a description of SPTD (Patient factors, Radiological outcomes, Patient Reported Outcome Measurements and Surgical indication) was present the article was included. The retrieved articles were assessed for methodological quality and the presented data was extracted. Results: 46 articles met the inclusion criteria. “Symptomatic SPTD” was mentioned multiple times as an entity, however any description of “symptomatic SPTD” was not found. Pain was mentioned as a key factor in SPTD. Other patient related parameters were (progression of) neurological deficit, bone quality, age, comorbidities and functional disability. Various ways were used to determine the amount of deformity on radiographs. The amount of deformity ranged from not deviant for normal to >30°. Sagittal balance and spinopelvic parameters such as the Pelvic Incidence, Pelvic Tilt and Sacral Slope were taken into account and were used as surgical indicators and preoperative planning. The Visual Analog Scale for pain and the Oswestry Disability Index were used mostly to evaluate surgical intervention. Conclusion: A clear-cut definition or consensus is not available in the literature about clinically relevant SPTD. Our research acts as the basis for international efforts for the development of a definition of SPTD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Spinopelvic Parameters In Sptdmentioning

confidence: 93%

Section: Patient Factorsmentioning

confidence: 99%

See 2 more Smart Citations

The Current Status of Spinal Posttraumatic Deformity: A Systematic Review

Gendt

Vercoulen

Joaquim

et al. 2020

Global Spine Journal

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“…При клинических ситуациях, соответствующих индексу «0», возможно применение любых, самых агрессивных способов мобилизации и коррекции анатомических взаимоотношений в травмированных ПДС, таких как PSO или VCR. При среднем или большом риске неврологических осложнений, соответствующим индексам, начинающимся с градации «2» и «3», целесообразно воздержаться от данных способов мобилизации и репозиции в пользу этапного хирургического лечения [21] или малотравматичной и безопасной коррекции АВФ [13,14]. Так как очевидно, что в таких случаях ухудшение неврологического статуса после проведенной операции окажет несравнимо большее отрицательное воздействие на качество жизни больного, чем достигнутый положительный ортопедический результат.…”

Section: Discussionunclassified

Prevalence of Early Cervical Osteochondrosis Risk Assessment Scale of the Neurological Complications of Surgical Treatment in Patients With the Post-Traumatic Deformations of the Thoracic and Lumbar Spine

Afaunov

Kuzmenko

Басанкин

et al. 2019

Kuban. nauсh. med. vestnik

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The aimis to develop and propose a scale for assessing the risk of neurological complications as a result of surgical treatment in patients with the post-traumatic deformations of the thoracic and lumbar spine.Materials and methods.An analysis of the treatment of 124 patients (70 men and 54 women) aged 18–54 with post-traumatic deformations of the thoracic and lumbar spine was carried out. The patients were operated during the 2003–2017 period. Repeated surgeries were performed after the period from 6 months to 14 years after injury. In 63 cases, spinal deformation was the result of unsuccessful surgical treatment, while 61 cases were due to diagnostic errors and/or inadequate conservative treatment.Results.The analysis of the clinical data identified factors affecting the manifestation of neurological complications, as well as 46 assessment options for risk gradation.Conclusion.The proposed scale can be used for a rapid assessment of the risk of neurological complications of surgical treatment of patients with the post-traumatic deformations of the thoracic and lumbar spine.'Conflict of interest: the authors declare no conflict of interest.

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Post-traumatic deformities of the spine: relevance, problems, and revision surgery

Прудникова

Хомченков

2019

Hir. pozvonoč.

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Objective. To analyze tactical approaches and types of surgical interventions for post-traumatic deformity of the spine. Material and Methods. Study design: retrospective monocentric cohort study. The study included 116 patients: Group 1 consisted of 50 patients with primary post-traumatic deformities, and Group 2 of 66 patients with secondary deformities after previously performed decompression and stabilization surgery who were admitted for revision interventions. The average age of patients was 42.1 ± 11.6 years, the long-term follow-up period varied from 2 to 60 months (16.6 ± 10.2). Methods used in the study were clinical (neurological status, ASIA, VAS) one, evaluation of treatment results according to MacNub scale, radiography, CT, radiometry (local kyphosis according to Cobb, Surgimap Spine), MRI, and statistical methods. Results. The follow-up period of Group 1 patients was 31.3 ± 28.1 months, of Group 2 patients-60.3 ± 48.1 months. Injuries were predominantly localized at the level of the thoracolumbar junction. In Group 2, more severe neurological disorders (ASIA) prevailed. All patients underwent primary or revision transpedicular fixation and Schwab vertebrotomy variants through posterior approach. The follow-Цель исследования. Анализ тактических подходов и видов оперативных вмешательств при посттравматических деформациях позвоночника. Материал и методы. Дизайн исследования: ретроспективная моноцентровая когорта. В исследование включено 116 пациентов: 1-я группа-50 больных с первичными посттравматическими деформациями, 2-я группа-66 больных со вторичными деформациями на фоне ранее выполненных декомпрессивно-стабилизирующих операций, госпитализированных для ревизионных вмеша

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Staged Surgical Treatment of Posttraumatic Deformities in the Thoracic and Lumbar Spine

Cited by 8 publications

References 22 publications

The Current Status of Spinal Posttraumatic Deformity: A Systematic Review

The Current Status of Spinal Posttraumatic Deformity: A Systematic Review

Prevalence of Early Cervical Osteochondrosis Risk Assessment Scale of the Neurological Complications of Surgical Treatment in Patients With the Post-Traumatic Deformations of the Thoracic and Lumbar Spine

Post-traumatic deformities of the spine: relevance, problems, and revision surgery

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