THREE-COLUMN OSTEOTOMY OF THE SPINE DURING REVISION SURGERY IN A PATIENT WITH CONGENITAL ANGULAR THORACOLUMBAR KYPHOSCOLIOSIS

A A Panteleyev,M L Sazhnev,A I Kazmin,D S Gorbatyuk,S V Kolesov,V S Pereverzev

doi:10.14531/ss2018.3.30-38

Abstract

A clinical case of surgical treatment of a female adolescent patient with multiple malformations, congenital thoracolumbar kyphoscoliosis, severe lower paraparesis and impaired functions of pelvic organs is presented with a review of the literature on the problem under consideration. During the course of treatment over several years, the patient underwent repeated revision surgical interventions because of implant instability and infectious complications. The last stage of treatment included a three-column osteotomy of the spine at the deformity apex with posterior instrumented fixation. A significant correction of the deformity was achieved. Based on the results of 18-month follow-up, the correction is maintained, the implant is stable. The patient reports a significant improvement in the quality of life.

Highlights

A clinical case of surgical treatment of a female adolescent patient with multiple malformations, congenital thoracolumbar kyphoscoliosis, severe lower paraparesis and impaired functions of pelvic organs is presented with a review of the literature on the problem under consideration
Для коррекции выраженных кифосколиотических деформаций у пациентов детского и подросткового возраста предлагаются различные методики, включая операции из комбинированного и изолированного дорсального доступов с применением различных конструкций, однако стандартного подхода к настоящему моменту не разработано [7, 11, 23, 26, 28, 33, 38]

Summary

Introduction

A clinical case of surgical treatment of a female adolescent patient with multiple malformations, congenital thoracolumbar kyphoscoliosis, severe lower paraparesis and impaired functions of pelvic organs is presented with a review of the literature on the problem under consideration. Three-column osteotomy of the spine during revision surgery in a patient with congenital angular thoracolumbar kyphoscoliosis A.A. Panteleyev, M.L. Sazhnev, D.S. Gorbatyuk, A.I. Kazmin, V.S. Pereverzev, S.V. Kolesov National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russia Please cite this paper as: Panteleyev AA, Sazhnev ML, Gorbatyuk DS, Kazmin AI, Pereverzev VS, Kolesov S.V. Three-column osteotomy of the spine during revision surgery in a patient with congenital angular thoracolumbar kyphoscoliosis.

Results

Conclusion