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Growing rods in men...
Growing rods in meningomyelocele lead to increased risk for complications in comparison with fusion; a retrospective study of 30 patients treated for at the University Hospital of Uppsala
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- Kontakis, M. G. (författare)
- Uppsala universitet,Ortopedi och Handkirurgi,Akad Univ Hosp Uppsala, Dept Orthoped, Spine Sect, Uppsala, Sweden.
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- Pazarlis, Konstantinos A., MD, 1983- (författare)
- Uppsala universitet,Ortopedi och Handkirurgi,Stockholm Spine Ctr, Stockholm, Sweden.
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- Karlsson, Thomas (författare)
- Uppsala universitet,Ortopedi och Handkirurgi,Akad Univ Hosp Uppsala, Dept Orthoped, Spine Sect, Uppsala, Sweden.
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- Jonsson, Håkan (författare)
- Uppsala universitet,Ortopedi och Handkirurgi,Akad Univ Hosp Uppsala, Dept Orthoped, Spine Sect, Uppsala, Sweden.
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- Schizas, Nikos, 1979- (författare)
- Uppsala universitet,Ortopedi och Handkirurgi,Akad Univ Hosp Uppsala, Dept Orthoped, Spine Sect, Uppsala, Sweden.
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- Springer, 2024
- 2024
- Engelska.
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Ingår i: European spine journal. - : Springer. - 0940-6719 .- 1432-0932. ; 33, s. 739-745
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Purpose: To compare the complication rates of two different types of posterior instrumentation in patients with MMC, namely, definitive fusion and fusionless surgery (growing rods).Methods: Single-center retrospective study of 30 MMC patients that underwent posterior instrumentation for deformity (scoliosis and/or kyphosis) treatment from 2008 until 2020. The patients were grouped based on whether they received definitive fusion or a growth-accommodating system, whether they had a complication that led to early surgery, osteotomy or non-osteotomy. Number of major operations, Cobb angle correction and perioperative blood loss were the outcomes.Results: 18 patients received a growing system and 12 were fused at index surgery. The growing system group underwent a mean of 2.38 (± 1.03) surgeries versus 1.91 (± 2.27) in the fusion group, p = 0.01. If an early revision was necessitated due to a complication, then the number of major surgeries per patient was 3.37 (± 2.44) versus 1.77 (± 0.97) in the group that did not undergo an early revision, p = 0.01. Four patients developed a superficial and six a deep wound infection, while loosening/breakage occurred in 10 patients. The Cobb angle was improved from a mean of 69 to 22 degrees postoperatively. Osteotomy did not lead to an increase in perioperative blood loss or number of major operations.Conclusion: Growing systems had more major operations in comparison with fusion surgery and early revision surgery led to higher numbers of major operations per patient; these differences were statistically significant. Definitive fusion at index surgery might be the better option in some MMC patients with a high-risk profile.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- Meningomyelocele
- Early-onset scoliosis
- Spine deformity
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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