Kyphectomy in children with myelomeningocele: a long-term outcome study.
J Pediatr Orthop
; 24(1): 37-44, 2004.
Article
en En
| MEDLINE
| ID: mdl-14676532
Twenty-four children with myelomeningocele and a kyphotic deformity treated by surgical correction between 1980 and 1994 were reviewed. Different techniques of instrumentation and spinal fusion were used. The mean age at surgery was 9.5 years. The mean kyphotic angle was 121 degrees preoperatively, 50 degrees postoperatively, and 57 degrees at final follow-up. The postoperative complication rate was high. Delayed wound healing and late skin breakdown with exposure of instrumentation were common problems. Further surgery to remove protruding hardware was necessary in 18 patients. Long posterior instrumentation with fixation to the pelvis had significantly better stability on follow-up than other methods. Despite the prolonged postoperative morbidity in the majority of the study group, the long-term clinical and radiologic outcome at a mean follow-up of 10 years was excellent.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Meningomielocele
/
Cifosis
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Orthop
Año:
2004
Tipo del documento:
Article
País de afiliación:
Irlanda
Pais de publicación:
Estados Unidos