Treatment of congenital spinal deformities in children: yesterday, today, tomorrow

Author:

Ryabykh S. O.1ORCID,Ulrikh E. V.2ORCID,Mushkin A. Yu.3ORCID,Gubin A. V.1ORCID

Affiliation:

1. The Russian Ilizarov Scientific Center for Reconstructive Traumatology and Orthopedics

2. St. Petersburg State Pediatric Medical University

3. St. Petersburg Research Institute of Phthisiopulmonology

Abstract

The paper presents an unsystematized review of technologies, techniques and options for surgical treatment of congenital spinal deformities in children over the past 40 years. The main trends in the surgery of spinal deformities are highlighted: evolution of methods of visual diagnostic, treatment planning, and surgeon action control, introduction of adapted functional status scales and questionnaires for quality of life, hybridization of surgical techniques, evolution of spinal implants and instruments, and progress of anesthetic management. At the same time, new clinical and scientific problems are also discussed in the paper: questions of unifying terminology, planning the volume of treatment, the difficulty of comparing treatment methods and technologies, education, and integration.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

Reference73 articles.

1. Ul’rikh EV. Fibrous septa of the spinal canal in children with developmental anomalies of the locomotor system. Khirurgiia (Mosk). 1987;(8):105-107. In Russian.

2. Ulrich EV, Bairov GA. The method of wedge-shaped resection in the treatment of congenital scoliosis in toddlers. Klinicheskaia khirurgiia. 1989;(11):24–27. In Russian.

3. Ulrich EV, Moushkin AYu. Surgical treatment of scoliosis and kyphoscoliosis caused by hemivertebrae in infants. J Pediatr Orthop B. 1992;1:113–115. DOI: 10.1097/01202412-199201020-00005.

4. Ulrikh EV. Abnormalities of the Spine in Children. St. Petersburg, 1995. In Russian.

5. Ulrikh EV, Mushkin AYu. Surgical Treatment of Malformations of the Spine in Children. St. Petersburg, 2007. In Russian.

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