Pedicle subtraction osteotomy in patient with congenital kyphosis

IF 0.7 Q4 CLINICAL NEUROLOGY Egyptian journal of neurosurgery Pub Date : 2024-04-09 DOI:10.1186/s41984-024-00283-8
Majid Rezvani, Mehdi Mahmoodkhani, Soheil Fallahpour, Payman Rahmani, Hamed Koohgard, Donya Sheibani Tehrani
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Abstract

A disorder causes congenital kyphosis in the last stages of ossification and cartilage formation during embryonic development. The main treatment for this disease is surgery with various methods. The present study was performed to evaluate the results of the posterior surgery. This study was a descriptive study comparing the results before and after surgery which was performed in 2022 on 14 patients with the congenital kyphosis referred to Al-Zahra Hospital in Isfahan. Initial assessments were performed, and the patient underwent surgery. The patients were re-evaluated immediately after surgery which were followed up and evaluated two years after surgery. Data were collected by a checklist and described and analyzed in SPSS software version 22. The mean age of the patients was 23.15 ± 13.24 years, 7 patients (50%) were male, and the mean duration of surgery was 405.85 ± 123.99 min. Seven patients (50%) were under 18 years old. No disease died and the highest T12 involvement was in 5 patients (35.8%). Sagittal Vertical Axis, Kyphosis Angle and Lumbar Lordosis decreased in two stages immediately after surgery and follow-up, which were statistically significant (P < 0.05). No associated neurologic abnormalities was found during a physical examination or magnetic resonance imaging. In three phases (before, immediately after surgery, and follow-up), the mean of the Sagittal Vertical Axis, and Lumbar Lordosis in adults (over 18 years) and children (under 18 years) was not substantially different (P > 0.05). The mean Kyphosis Angle were significantly different in adults, and children at follow-up stages (P < 0.05). Because one of the children had a device filler in the follow-up stage. PSO can be used as a safe and effective technique to treat and correct Sagittal Vertical Axis, Kyphosis angle, Lumbar lordosis.
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先天性脊柱后凸患者的椎骨减低截骨术
在胚胎发育过程中,骨化和软骨形成的最后阶段,有一种疾病会导致先天性脊柱后凸。这种疾病的主要治疗方法是采用各种方法进行手术。本研究旨在评估后路手术的效果。本研究是一项描述性研究,比较了伊斯法罕扎赫拉医院于 2022 年对 14 名先天性脊柱后凸患者实施手术前后的结果。对患者进行初步评估后,患者接受了手术。术后立即对患者进行了重新评估,并在术后两年进行了随访和评估。数据通过核对表收集,并通过 SPSS 软件 22 版进行描述和分析。患者的平均年龄为(23.15 ± 13.24)岁,7 名患者(50%)为男性,平均手术时间为(405.85 ± 123.99)分钟。7 名患者(50%)未满 18 岁。无死亡病例,T12受累程度最高的是5名患者(35.8%)。椎体矢状纵轴、椎体后倾角和腰椎前凸在术后即刻和随访期间分两个阶段下降,差异有统计学意义(P 0.05)。在随访阶段,成人和儿童的平均脊柱后倾角有明显差异(P < 0.05)。因为其中一名儿童在随访阶段进行了装置填充。PSO 可作为一种安全有效的技术用于治疗和矫正矢状面垂直轴、后凸角度和腰椎前凸。
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