THE SURGICAL TREATMENT FOR DEFORMITIES OF THE SPINE İN THE SAGITTAL PLANE
Journal Title: Journal of Turkish Spinal Surgery - Year 1993, Vol 4, Issue 3
Abstract
İn this study, we evaluated the results of 25 kyphosis cases, surgically treated at our clinic betvveen 1989 and 1993 and we revieved the principles of surgical treatment of the deformity. 9 cases had Scheuermann's kyphosis, 8 had posttraumatic kyphosis and 8 had postinfectious kyphosis. The average age was 22.3 (13-42) and the average follow-up was 2.1 years (1-3.2 years). Preoperatively, 20 patients complained of pain and 8 cases had neurologic deficit. İn ali cases, except 3 vvith Scheuermann's kyphosis, we performed anterior and posterior combined procedures and we used CD in-strumentation for posterior correction and stabilization. Average kyphosis angle was 83° (76°-95°) preoperatively, and 38z (30°-62°) postoperatively for the Scheuermann's kyphosis group, and 76° and 42° in the postinfectious and traumatic groups, respectively. Ali cases with neurologic deficit were able to walk vvithout any external support at the last follow-up. Postoperatively there was no pain in 18 patients, mild pain 4 cases, severe pain in 2 cases and radicular pain in 1 case. Our cases i İki s t ra t e that, in posttraumatic and postinfectious kyphosis progressive neurologic deficit pre-dominates the clinical picture and combined procedures are required, however, in Scheuermann's kyphosis pain predominates the picture and, posterior surgery is required in cases vvith a flexible curve and less than 80 degrees of deformity, and anterior plus posterior surgery are required in cases vvith a more severe and rigid deformity.
Authors and Affiliations
Ünsal DOMANİÇ, Cüneyt ŞAR, Mustafa ŞENGÜN, Yalçın YAVUZER
Keywords
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