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Pan Arab Journal of Orthopaedic and Trauma [The]. 2000; 4 (1): 1-6
in English | IMEMR | ID: emr-54998

ABSTRACT

We present sixteen cases of spinal kyphosis treated by a closing-wedge posterior vertebral osteotomy with partial corpectomy at the apex of the deformity followed by posterior stabilization and fusion. The deformity was caused by a congenital anomaly in 6 cases; infection in 7 cases; and ankylosing spondylitis in 3 cases. The indication for surgery was to correct a deformity, which interfered with sitting balance, disturbed respiration, caused abdominal discomfort and/or impeded forward sight vision ahead to the horizon. The average correction was 38 degrees [22-65 degrees] with a mean loss of correction of 3.9 degrees [0-12 degrees]. The average operating time was 195 minutes and blood loss was 1750cc. The osteotomy corrected the deformity in all the cases sufficiently to alleviate the pre-existing symptoms and improve their posture. There were no fatal complications. Implant failure was seen in 2 cases in the form of screws loosening. One deep seated infection required removal of the implant, and two cases had superficial infection controlled by local debridement and parentral antibiotics


Subject(s)
Humans , Male , Female , Osteotomy , Postoperative Care , Tomography, X-Ray Computed , Spinal Curvatures , Spinal Fusion
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