Хірургічна корекція вродженого кіфозу в дітей. Клінічний випадок

Abstract

Congenital kyphosis occurs as a result of a disorder of vertebral formation or segmentation. There are a number of scientific papers that evaluate and compare various methods of surgical treatment of patients with congenital kyphosis, as well as analyze complications in this group of patients. In the current literature, preference is given to methods with more aggressive correction of angular kyphotic deformity, in particular, corrective spinal osteotomies and various types of vertebrectomy. These methods can achieve significant deformity correction, but have a high risk of complications associated with fractures of the fixation rods in the long-term postoperative period. Purpose - to present a clinical case of surgical treatment of a patient with congenital kyphosis, which allowed to achieve significant correction of the deformity and reduce the number of complications associated with the instability of the metal structure. The clinical case describes the treatment of a 16-year-old patient with an active Th11 wedge-shaped halve vertebrae using the method of decancellation the latter and fixing the spine with a transpedicular metal structure. The peculiarity of the surgical intervention is the use of rib fragments as an autograft to form a posterior spondylodisc. Conclusions. The use of rib fragments as an autograft creates conditions for the formation of a posterior bone block, which reduces the risk of fracture of the fixation rods in the long-term postoperative period. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.