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

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 cos- metic satisfaction with t...

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Autores principales: Dmitrii A. Ptashnikov, Shamil Sh. Magomedov, Sergey P. Rominskiy, Pavel G. Mytyga
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RU
Publicado: Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2021
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spelling oai:doaj.org-article:8aa0127f8f5f47ccaf52726912c63dbd2021-11-22T07:13:47ZAssessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine10.14531/ss2021.3.30-351810-89972313-1497https://doaj.org/article/8aa0127f8f5f47ccaf52726912c63dbd2021-09-01T00:00:00Zhttps://www.spinesurgery.ru/jour/article/view/1825/1822https://doaj.org/toc/1810-8997https://doaj.org/toc/2313-1497Objective. 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 cos- metic 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 forma- tion according to CT data was shorter, the overall satisfaction with surgery result was higher (mainly due to the absence of a cosmetic de- fect), 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.Dmitrii A. PtashnikovShamil Sh. MagomedovSergey P. RominskiyPavel G. MytygaMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"articleposterior fusiondeformity correctionbone autograftkyphotic deformitySurgeryRD1-811ENRUХирургия позвоночника, Vol 18, Iss 3, Pp 30-35 (2021)
institution DOAJ
collection DOAJ
language EN
RU
topic posterior fusion
deformity correction
bone autograft
kyphotic deformity
Surgery
RD1-811
spellingShingle posterior fusion
deformity correction
bone autograft
kyphotic deformity
Surgery
RD1-811
Dmitrii A. Ptashnikov
Shamil Sh. Magomedov
Sergey P. Rominskiy
Pavel G. Mytyga
Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
description 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 cos- metic 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 forma- tion according to CT data was shorter, the overall satisfaction with surgery result was higher (mainly due to the absence of a cosmetic de- fect), 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.
format article
author Dmitrii A. Ptashnikov
Shamil Sh. Magomedov
Sergey P. Rominskiy
Pavel G. Mytyga
author_facet Dmitrii A. Ptashnikov
Shamil Sh. Magomedov
Sergey P. Rominskiy
Pavel G. Mytyga
author_sort Dmitrii A. Ptashnikov
title Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
title_short Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
title_full Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
title_fullStr Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
title_full_unstemmed Assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
title_sort assessment of new method of posterior spinal fusion in the treatment of patients with posttraumatic kyphotic deformity of the thoracic and lumbar spine
publisher Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
publishDate 2021
url https://doaj.org/article/8aa0127f8f5f47ccaf52726912c63dbd
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