Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities

Background: Revision surgeries of spinal deformity are difficult and technically demanding with high rate of complications. Combined anterior and posterior approaches are usually required in such cases. Decreased quality of life, pain, physical limitations, and dissatisfaction with self-image are th...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mohammed Khalid Saleh, MD., Fahmy Samir Fahmy, MD., Sherif Alagamy, MD.
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2019
Materias:	posterior-only revision surgery spinal deformities Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bd84b99175e7409aa08a8855af6aad23
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bd84b99175e7409aa08a8855af6aad23
record_format	dspace
spelling	oai:doaj.org-article:bd84b99175e7409aa08a8855af6aad232021-12-02T11:33:42ZEvaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities10.21608/esj.2020.17415.11072314-89502314-8969https://doaj.org/article/bd84b99175e7409aa08a8855af6aad232019-10-01T00:00:00Zhttps://www.esj.journals.ekb.eg/article_80116_a17af75b5e61b920a90fca26a1f8f806.pdfhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background: Revision surgeries of spinal deformity are difficult and technically demanding with high rate of complications. Combined anterior and posterior approaches are usually required in such cases. Decreased quality of life, pain, physical limitations, and dissatisfaction with self-image are the main sequelae of revision spinal deformities. Durability of interventions for deformity treatment is the main concern for surgeons, as the revision rate is considered high. Purpose: The aim of this study is evaluation of the short-term outcomes of posterior-only approach in correction of revision spinal deformities. Study Design: Case series, prospective. Patients and Methods: Twenty patients with revision spinal deformities were included in this study between February 2015 and December 2017. The mean age was 16±5.9 (16–35) years. The patients were assessed radiologically and clinically using Visual Analogue Scale (VAS) of pain and Oswestry Disability Index (ODI). Clinical diagnosis was failed spinal deformity correction of different etiologies in patients aged more than 15 years old. All patients treated via Ponte osteotomies and fusion mass osteotomies with pedicular screw fixation through posterior approach. Results: The mean follow-up time was 27±6.2 months. The mean estimated blood loss (EBL) was 1829±388.7 ml (range, 1300–2600). The mean coronal Cobb angle showed 75.64% correction. The Visual Analogue Scale (VAS) of back pain showed 75.97% improvement. There was statistically significant improvement of the clinical scores and all radiological parameters at the end of the follow-up period. There were seven complications without serious morbidities (3 dural tears, 1 postoperative ileus, 1 delayed extubation, 1 superficial wound infection, and 1 anemia). Conclusion: Revision deformity surgeries are technically demanding procedures and should be done by well-trained spine surgeons. The posterior-only approach is an effective and safe option in management of deformity correction and achieves good union even in cases of pseudoarthrosis without serious complications. (2019ESJ183) Mohammed Khalid Saleh, MD.Fahmy Samir Fahmy, MD.Sherif Alagamy, MD.Egyptian Spine Associationarticleposterior-onlyrevision surgeryspinal deformitiesNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 32, Iss 1, Pp 2-9 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	posterior-only revision surgery spinal deformities Neurology. Diseases of the nervous system RC346-429
spellingShingle	posterior-only revision surgery spinal deformities Neurology. Diseases of the nervous system RC346-429 Mohammed Khalid Saleh, MD. Fahmy Samir Fahmy, MD. Sherif Alagamy, MD. Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
description	Background: Revision surgeries of spinal deformity are difficult and technically demanding with high rate of complications. Combined anterior and posterior approaches are usually required in such cases. Decreased quality of life, pain, physical limitations, and dissatisfaction with self-image are the main sequelae of revision spinal deformities. Durability of interventions for deformity treatment is the main concern for surgeons, as the revision rate is considered high. Purpose: The aim of this study is evaluation of the short-term outcomes of posterior-only approach in correction of revision spinal deformities. Study Design: Case series, prospective. Patients and Methods: Twenty patients with revision spinal deformities were included in this study between February 2015 and December 2017. The mean age was 16±5.9 (16–35) years. The patients were assessed radiologically and clinically using Visual Analogue Scale (VAS) of pain and Oswestry Disability Index (ODI). Clinical diagnosis was failed spinal deformity correction of different etiologies in patients aged more than 15 years old. All patients treated via Ponte osteotomies and fusion mass osteotomies with pedicular screw fixation through posterior approach. Results: The mean follow-up time was 27±6.2 months. The mean estimated blood loss (EBL) was 1829±388.7 ml (range, 1300–2600). The mean coronal Cobb angle showed 75.64% correction. The Visual Analogue Scale (VAS) of back pain showed 75.97% improvement. There was statistically significant improvement of the clinical scores and all radiological parameters at the end of the follow-up period. There were seven complications without serious morbidities (3 dural tears, 1 postoperative ileus, 1 delayed extubation, 1 superficial wound infection, and 1 anemia). Conclusion: Revision deformity surgeries are technically demanding procedures and should be done by well-trained spine surgeons. The posterior-only approach is an effective and safe option in management of deformity correction and achieves good union even in cases of pseudoarthrosis without serious complications. (2019ESJ183)
format	article
author	Mohammed Khalid Saleh, MD. Fahmy Samir Fahmy, MD. Sherif Alagamy, MD.
author_facet	Mohammed Khalid Saleh, MD. Fahmy Samir Fahmy, MD. Sherif Alagamy, MD.
author_sort	Mohammed Khalid Saleh, MD.
title	Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
title_short	Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
title_full	Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
title_fullStr	Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
title_full_unstemmed	Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities
title_sort	evaluation of posterior-only approach using ponte and fusion mass osteotomies in management of revision spinal deformities
publisher	Egyptian Spine Association
publishDate	2019
url	https://doaj.org/article/bd84b99175e7409aa08a8855af6aad23
work_keys_str_mv	AT mohammedkhalidsalehmd evaluationofposterioronlyapproachusingponteandfusionmassosteotomiesinmanagementofrevisionspinaldeformities AT fahmysamirfahmymd evaluationofposterioronlyapproachusingponteandfusionmassosteotomiesinmanagementofrevisionspinaldeformities AT sherifalagamymd evaluationofposterioronlyapproachusingponteandfusionmassosteotomiesinmanagementofrevisionspinaldeformities
_version_	1718395843293216768

Evaluation of Posterior-Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities

Ejemplares similares