Vertebral resection and fusion for paralytic kyphosis. 9 patients followed up for 6 (2-14) years.
Nine patients with a thoracolumbar, progressing, paralytic kyphosis, pressure sores from gibbus, an inability to lie on the back, and deterioration of the sitting balance were operated on with resection of two to three vertebrae and a thoracolumbar fusion. One child died from intracranial bleeding caused by a halo screw. There were no implant loosenings or non-unions. Pressure sores healed, sitting improved, and lying on the back became possible. A mild scoliosis above the fusion level developed in 2 patients, but neither of them needed any treatment.
Saraste
H
H
Department of Orthopedics, Karolinska Hospital, Stockholm, Sweden.
Stark
A
A
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008591:Meningomyelocele / Q000150:complications; D010264:Paraplegia / Q000150:complications* / Q000209:etiology; D011187:Posture; D013123:Spinal Fusion / Q000379:methods