COMPUTED TOMOGRAPHY AS A COMPONENT OF PREOPERATIVE PLANNING FOR METAL TRANSITIONAL SPINE FIXATION IN THE CORRECTION OF SCOLIOTIC DEFORMITIES BY HYBRID CONSTRUCTS

Author:

Norkin I. A.ORCID,Likhachev S. V.ORCID,Zaretskov V. V.ORCID,Arsenievich V. B.ORCID,Shul’ga A. E.ORCID,Stepukhovich S. V.ORCID,Zaretskov A. V.ORCID,Sumin D. Yu.ORCID,Bitokova K. T.ORCID

Abstract

Objective:to assess whether computed tomography (CT) data can  be used for metal transitional spine fixation in patients with thoracic  and thoracolumbar scoliosis at the stage of surgical intervention planning.Material and methods.Thirty-nine patients with grades 3 and 4  (according to V.D. Chaklin) or type I–III (according to the  classification proposed by L. Lenke) thoracic and thoracolumbar idiopathic scoliosis were examined. All the patients  underwent a comprehensive radiographic and CT examinations. The  radiomorphometric features of the spine were used to plan surgical interventions.Results.The protocol was clarified for preoperative scoliosis examination using CT data on cervicothoracic and  thoracolumbar vertebrae. A personalized approach to planning an  operation on the basis of CT examination permits one to eliminate  destabilization of the supporting elements of the corrective system  at the most. Reducing the risk of postoperative losses of correction  contributes to the use of multi-rod constructs.Conclusion.CT that enables a comprehensive assessment of existing pathology and clarification of the nature of impending surgery should be carried out in patients with thoracic  and thoracolumbar idiopathic scoliosis at the stage of preoperative  planning for metal transitional spine fixation.

Publisher

Luchevaya Diagnostika

Subject

General Medicine

Reference14 articles.

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