Kyphectomy in children with myelodysplasia: results 1994-2004

Spine
M AkbarR Abel

Abstract

We retrospectively studied 24 consecutive pediatric patients with lumbar kyphosis due to myelodysplasia who had received corrective surgical treatment with the Warner and Fackler technique from 1994 to 2004. The purpose of the study was to evaluate the technical problems and outcome and to identify complications of this treatment modality, especially regarding the biomechanics. The management of lumbar kyphosis (8%-20%) in conjunction with myelodysplasia is difficult. In 1993, Warner and Fackler presented an elegant surgical technique, which was used here. Corrective surgery was performed in 24 patients with an average preoperative lumbar kyphosis of 124 degrees . The correction was achieved by kyphectomy combined with stabilization using rods and wires as described by Warner and Fackler. Outcome was rated and complications were identified using data from the clinical records. For biomechanical analysis of the surgical construct, a force model was developed. The mean extent of lumbar kyphosis could be corrected from 124 degrees before surgery to 43 degrees after surgery. Biomechanical analysis showed that inadequate correction results in implant failure. Surgery should always be performed with the intention to reestablish the s...Continue Reading

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Citations

Oct 2, 2008·Neurosurgery·Justin S SmithChristopher P Ames
May 10, 2008·Journal of Neurosurgery·Giuseppe TalamontiMassimo Collice
Feb 2, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ricardo de Amoreira GeppHugo José de Araújo
Apr 27, 2010·Developmental Disabilities Research Reviews·Jeffrey D Thomson, Lee S Segal
Nov 26, 2009·The Journal of Bone and Joint Surgery. American Volume·Michael AkbarClaus Carstens
Sep 18, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Benoit VibertAurélien Courvoisier
Nov 3, 2010·Clinical Orthopaedics and Related Research·Sumeet GargB Stephens Richards
Oct 20, 2010·Clinical Orthopaedics and Related Research·Haluk AltiokPeter Sturm
Nov 28, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Khalid Saud AlshaalanSamir Omar Al Sayegh
Dec 3, 2020·Journal of Orthopaedic Surgery and Research·Çağrı ÖzcanBekir Yavuz Uçar

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