Artículos de revistas
Evaluation Of Results After Kyphectomy In Myelomeningocele By The Modified Dun-mccarthy Technique [evaluación De La Post-cifosectomía En Mielomeningocele Por Técnica De Dun-mccarthy Modificada]
Registro en:
Coluna/ Columna. , v. 12, n. 1, p. 28 - 31, 2013.
18081851
10.1590/S1808-18512013000100006
2-s2.0-84878560107
Autor
Dos Santos R.E.C.
Cavali P.T.M.
Lehoczki M.A.
Rossato A.J.
Risso-Neto M.I.
Zuiani G.R.
Veiga I.G.
Pasqualini W.
Landim E.
Institución
Resumen
Objective: To report the results of the surgical treatment of congenital lumbar kyphosis related to myelomeningocele. Methods: Retrospective study, with 31 patients, mean age of 10 years old, treated only by posterior approach with a Dunn-McCarthy procedure. The mean follow up was about 22 months (5 to 60 months). We evaluated the potential correction, correction loss, percentage of fusion and complications. Results: The average preoperative kyphosis of 114o (60° to 183°) was corrected to 37° (-63° to 180°) according to the radiograph obtained in the last visit. The global rate of complications was 46%; however the surgical morbidity was very low. The fusion rate was 80%. Conclusion: This procedure is efficient, with a high potential for correction and fusion, and low potential for loss of correction. 12 1 28 31 Lindseth, R.E., Stelzer Jr., L., Vertebral excision for kyphosis in children with myelomeningocele (1979) Journal of Bone and Joint Surgery - Series A, 61 (5), pp. 699-704 Lintner, S.A., Lindseth, R.E., Kyphotic deformity in patients who have a myelomeningocele. Operative treatment and long-term follow-up (1994) Journal of Bone and Joint Surgery - Series A, 76 (9), pp. 1301-1307 McCall, R.E., Modified luque instrumentation after myelomeningocelekyphec-tomy (1998) Spine (PhilaPa 1976), 23 (12), pp. 1406-1411 McMaster, M.J., The long-term results of kyphectomy and spinal stabilization in children with myelomeningocele (1988) Spine (Phila Pa 1976), 13 (4), pp. 417-424 Banta, J.V., Hamada, J.S., Natural history of the kyphotic deformity in myelomenin-gocele (1976) J Bone Joint Surg Am., 58, p. 279 Torode, I., Godette, G., Surgical Correction of congenital kyphosis in myelomeningocele (1995) J PediatrOrthop., 15 (2), pp. 202-205 Sharrard, W.J.W., Drennan, J.C., Osteotomy: Excision of the spine for lumbar kyphosis in older children with myelomeningocele (1972) J Bone Joint Surg Br., 54, pp. 50-60 McCarthy, R.E., Bruffett, W.L., McCullough, F.L., S rod fixation to the sacrum in patients with neuromuscular spinal deformities (1999) Clinical Orthopaedics and Related Research, (364), pp. 26-31 Huang, T.J., Lubicky, J.P., Kyphectomy and segmental spinal instrumentation in young children with myelomeningocele kyphosis (1994) J Formos Med Assoc., 93 (6), pp. 503-508 Hull, W.J., Moe, J.H., Lai, C., Winter, R.B., The surgical treatment of spinal deformities in myelomeningocele (1975) J Bone Joint Surg Am., 57, p. 1767 Pierz, K., Banta, J., Thomson, J., Gahm, N., Hartford, J., The effect of tethered cord release on scoliosis in myelomeningocele (2000) Journal of Pediatric Orthopaedics, 20 (3), pp. 362-365. , DOI 10.1097/00004694-200005000-00017 Fernandes, A.C., Bitu, S.O.B., Violante Júnior, H., Alergia ao látex em pacientes porta-dores de mielomeningocele (2006) Rev Bras Ortop., 41 (6), pp. 217-220