Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine-Reference-Cited by-同舟云学术

Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine

Published:2021-09-15 Issue:3 Volume:18 Page:30-35
ISSN:2313-1497
Container-title:Hirurgiâ pozvonočnika (Spine Surgery)
language:
Short-container-title:Hir. pozvonoč.

Author:

Ptashnikov D. A.¹^ORCID,Magomedov S. S.²^ORCID,Rominskiy S. P.³^ORCID,Mytyga P. G.³^ORCID

Affiliation:

1. National Medical Research Center of Traumatology and Orthopedics n.a. R.R. Vreden; North-Western State Medical University n.a. I.I. Mechnikov 8 Akademika Baikova str., St. Petersburg, 195427, Russia; 41 Kirochnaya str., St. Petersburg, 191015, Russia

2. Russian Research Institute of Traumatology and Orthopedics n.a. R.R. Vreden 8 Akademika Baikova str., St. Petersburg 195427, Russia

3. National Medical Research Center of Traumatology and Orthopedics n.a. R.R. Vreden 8 Akademika Baikova str., St. Petersburg, 195427, Russia

Abstract

Objective. To carry out a comparative analysis of two methods of the posterior bone block formation (with autograft bone chips or with a whole vertebral arch) and to assess the rate of bone block formation, the degree of surgery invasiveness and the patient-reported cosmetic satisfaction with the results.Material and Methods. The study involved 31 patients with kyphotic deformity of the thoracic spine, of which 15 patients underwent spinal fusion using autograft bone chips (control group), and 16 were operated on using a new technique with a whole vertebral arch. The results of treatment were assessed using a modified MacNab scale. During the follow-up period from 1.5 to 2 years, pain syndrome was assessed according to VAS, quality of life according the Oswestry Disability Index, and cosmetic satisfaction was assessed using the SRS-22 scale.Results. In the course of the work, it was revealed that in patients who were operated on using new method, the time of bone block formation according to CT data was shorter, the overall satisfaction with surgery result was higher (mainly due to the absence of a cosmetic defect), and the indicators of the operation duration and blood loss did not differ compared to those in the control group.Conclusion. Based on the results obtained, spinal fusion using a whole vertebral arch can be recommended in clinical practice for surgical interventions in patients with kyphotic deformities of the spine.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

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