TWO STAGE RESECTION OF HEMIVERTEBRAE FOR THE TREATMENT OF CONGENITAL LUMBAR SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 1996, Vol 7, Issue 2
Abstract
Hemivertebrae, being one ofthe leading causes of congenital scoliosis following unilateral unsegmented bars, may change in number, localization and type. Especially fully segmented ones with lumbosacral localizations lead to lumbar take-off and secondary non-structural curves which detoriate progressively intra-spinal and other congenital anomalies must be carefully evaiuated in order to avoid any kind of possible neurological injury, before planning the treatment schedule. We are going to present a patient, 12 years of age who admitted to our ciinic with the complaints of left knee pain and iimp. Her routine evaiuation reveaied a tumber scoliosis of 38° with a fully segmented L4 hemivertebra. Tethered cord was apparent on the M.R.I. Patient had no abnormal neurological findings other than tight hamstrings on the left side. Surgical treatment is planned and at first a posterior approach was utilized for the release of the tethered cord and removal of posterior elements of the hemivertebra. İn a week an anterior procedure is combined excising the remaining corpus with anterior fusion and instrumentation (Z-Plate). At the post-operative 16th month, the curve was reduced to 6° and there was no complication.
Authors and Affiliations
A. Kemal US, Hüseyin DEMİRÖRS, Hakan SELEK, Mehmet SELÇUKİ, Ertan MERGEN
Keywords
Related Articles
- EP ID EP676342
- DOI -
- Views 127
- Downloads 0
DOES EARLY SURGERY OF THORACOLUMBAR VERTEBRAL FRACTURES WITH NEURAL DEFICIT AFFECT THE TREATMENT RESULTS?
Purpose: The aim of this study was to determine whether early surgical intervention in unstable thoracolumbar vertebral fractures affects the restoration of the spinal canal, neurological recovery and clinical results...
BONE MORPHOGENIC PROTEİN INDUCED HETEROTOPIC OSSIFICATION CAUSING SPINAL STENOSIS
Objectives: To report a case of late neurolo-gic compromise by heterotopic bone formation after use of human bone morphogenetic protein (rhBMP-2) in posterior lumbar interbody fusion (PLIF) procedure. Summary of back...
BRIEF REVIEW ON FUNDAMENTALS OF CERVICAL SPINE ALIGNMENT
The cervical spine where not only loads the mass of the head but also makes the widest range of motion relative to the rest of the spine, plays an important role in influencing subjacent global spinal alignment and pelvi...
THORACOLUMBAR FRACTURE SURGERIES: ANALYSIS WITH THORACOLUMBAR INJURY CLASSIFICATION AND SEVERITY SCORE (TLICS)
Aim: The purpose of our study is to compare our surgical decisions with TLICS considering our retrospective cases. Materials and Method: We inspected 38 patients who were operated for thoracal, thoracolumbar and l...
TETRAPLEGIA AFTER TRAUMA BECAUSE OF OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT
Ossification of the posterior longitudinal ligament (OPLL) is the new bone development and thickening of the posterior longitudinal ligament within the spinal canal. The clinical symptoms of OPLL appear mostly after 40 y...