Growing spinal systems and early onset deformities: is hyperkhyphosis a contraindication?
نویسندگان
چکیده
Materials and methods We retrospectively reviewed 16 paediatric patients affected by kyphotic spinal deformity (T3-T12 kyphosys > 60°) surgically treated with Growing Rod or VEPTR-like systems from 2006 to 2011. There were 8 males and 8 females, with a mean age of 7 years (range, 4 to 11). The aetiology was: idiopathic scoliosis (5 cases), kyphosis in Morquio disease (1) and in Pott disease (1), congenital scoliosis (3), trisomy 8 (1), Escobar syndrome (1), Prader Willi (1), spondylocostal dysplasia (1), arthrogryposis (2). Dual growing rod was implanted in 9 cases, VEPTR in 9 (always rib to spine construct). Pre-operative main thoracic scoliosis averaged 64° (range, 10° to 100°), lumbar scoliosis 55° and thoracic kyphosis 71° (60° to 90°), 67° in patients treated with growing rod and 77° for those treated with VEPTR.
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