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Convex Short Segment Instrumentation and Hemi-Chevron Osteotomies for Putti Type 1 Thoracic Hemivertebrae A Simple Treatment Option for Patients Under 5 Years Old

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dc.contributor.authors Kose, KC; Inanmaz, ME; Altinel, L; Bal, E; Caliskan, I; Isik, C; Ergan, V
dc.date.accessioned 2020-01-17T11:59:08Z
dc.date.available 2020-01-17T11:59:08Z
dc.date.issued 2013
dc.identifier.citation Kose, KC; Inanmaz, ME; Altinel, L; Bal, E; Caliskan, I; Isik, C; Ergan, V (2013). Convex Short Segment Instrumentation and Hemi-Chevron Osteotomies for Putti Type 1 Thoracic Hemivertebrae A Simple Treatment Option for Patients Under 5 Years Old. JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 26, 247-240
dc.identifier.issn 1536-0652
dc.identifier.uri https://hdl.handle.net/20.500.12619/6895
dc.identifier.uri https://doi.org/10.1097/BSD.0b013e318288716e
dc.description.abstract Study Design:A case series depicting the results of a novel surgical technique.Objective:To prove that a minimally invasive surgical technique can effectively control and even correct congenital scoliosis caused by a fully segmented hemivertebra.Summary of Background Data:Congenital hemivertebrae have been treated by anterior and posterior growth arrest with/without fusion, anterior and posterior hemivertebrectomy, transpedicular hemivertebra excision, and transpedicular hemiepiphysiodesis. These approaches are complex and require experience. There is a need for a simple treatment method to treat these deformities.Methods:Twelve patients under 5 years of age with Putti type1 hemivertebrae were treated by posterior convex short segment instrumentation, partial chevron osteotomies, and fusion. Scoliosis, segmental scoliosis, kyphosis, segmental kyphosis, trunk shift were measured both preoperatively and postoperatively.Results:The mean correction of the segmental curve was 6 degrees (21%) which was maintained at the latest follow-up. The average final correction of the main curve was 23%. The trunk shift was 1.8 cm (range, 1-3 cm) preoperative and 1.4 cm (range, 0-2.5 cm) at the latest follow-up. The segmental angle of kyphosis averaged 11 degrees (range, -12 to 20 degrees) preoperative, and 14 degrees (range, 0-29 degrees) at the latest follow-up assessment. The values of the total thoracic kyphosis (T2-T12) were 29.5 degrees (range, 10-46 degrees) preoperative, 31 degrees (range, 10-44 degrees) postoperative, and 32 degrees (range, 16-45 degrees) at the last follow-up resulting in a mean improvement of 2 degrees. This improvement continued at the latest follow-up with a mean increase of 3 degrees.Conclusions:Transpedicular instrumentation is ideal for early correction in young children. The new posterior approach is much less invasive than the combined approaches or other posterior vertebrectomies and is well tolerated even in very young patients. The fusion segment is kept short. The deformities seem to stop progressing and this can avoid development of severe local deformities and secondary curves.
dc.language English
dc.publisher LIPPINCOTT WILLIAMS & WILKINS
dc.subject Orthopedics
dc.title Convex Short Segment Instrumentation and Hemi-Chevron Osteotomies for Putti Type 1 Thoracic Hemivertebrae A Simple Treatment Option for Patients Under 5 Years Old
dc.type Article
dc.identifier.volume 26
dc.identifier.startpage 240
dc.identifier.endpage 247
dc.contributor.department Sakarya Üniversitesi/Tıp Fakültesi/Cerrahi Tıp Bilimleri Bölümü
dc.contributor.saüauthor Köse, Kamil Çağrı
dc.contributor.saüauthor İnanmaz, Mustafa Erkan
dc.relation.journal JOURNAL OF SPINAL DISORDERS & TECHNIQUES
dc.identifier.wos WOS:000326396800008
dc.identifier.doi 10.1097/BSD.0b013e318288716e
dc.identifier.eissn 1539-2465
dc.contributor.author Köse, Kamil Çağrı
dc.contributor.author İnanmaz, Mustafa Erkan


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