Operative „No-touch“-Techniken zur Korrektur kindlicher Skoliosen

Lorenz, Heiko M.; Braunschweig, Lena; Eberhardt, I.; Tsaknakis, Konstantinos; Hell, Anna K.

doi:10.1007/s00064-019-0614-8

Cited by 4 publications

(5 citation statements)

References 25 publications

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“…The cohort is, therefore, homogenous to an extent that is hardly ever achieved in other studies involving EOS patients [ 9 , 19 , 20 ]. Furthermore, most children suffering from SMA are treated with GFSI if their life expectancy allows for this [ 21 , 22 ]. In fact, the prognosis of SMA has recently changed dramatically with the advent of gene therapy [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Smaller Intervertebral Disc Volume and More Disc Degeneration after Spinal Distraction in Scoliotic Children

Lippross¹,

Girmond²,

Lüders³

et al. 2021

JCM

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In recent decades, magnetically controlled growing rods (MCGR) were established to treat progressive early-onset scoliosis. The aim of this investigation was to assess the effect of long-term MCGR with continuous distraction on intervertebral discs in scoliotic children. Magnetic resonance imaging (MRI) of 33 children with spinal muscular atrophy was analyzed by grading intervertebral disc degeneration (IDD) and measuring intervertebral disc volume. Cohort I (n = 17) were children who had continuous spinal distraction with MCGRs for 5.1 years and MRI before (av. age 8.1) and after (av. age 13.4) MCGR treatment. Cohort II (n = 16, av. age 13.7) were patients without prior surgical treatment. Lumbar intervertebral disc volume of cohort I did not change during 5.1 years of MCGR treatment, whereas disc volumes were significantly larger in age- and disease-matched children without prior treatment (cohort II). Cohort I showed more IDD after MCGR treatment in comparison to early MRI studies of the same patients and children without surgical treatment. MRI data showed a volume reduction and disc degeneration of lower thoracic and lumbar intervertebral discs in scoliotic children after continuous spinal distraction with MCGRs. These effects were confirmed in the same subjects before and after treatment as well as in surgically untreated controls.

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Section: Discussionmentioning

confidence: 99%

Smaller Intervertebral Disc Volume and More Disc Degeneration after Spinal Distraction in Scoliotic Children

Lippross¹,

Girmond²,

Lüders³

et al. 2021

JCM

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“…It has been postulated that autofusion of the spine might be reduced using bilateral rib to pelvis fixation without touching the spine itself [13]. This implant construct is recommended and commonly used in nonambulatory children, such as spinal muscular atrophy or myelomeningocele patients [14,15]. Despite the reluctance to use this implant construct in ambulatory children, a small number of patients with severe double curve progressive scoliosis may also benefit from this technique.…”

Section: Introductionmentioning

confidence: 99%

Limited trunk motion and posterior pelvic tilting in ambulatory children treated with bilateral rib to pelvis implants for spinal deformity control

Tsaknakis

Schmalz

Freslier

et al. 2021

Journal of Pediatric Orthopaedics B

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In young children, growth-friendly spinal implants with bilateral rib to pelvis fixation are used to control progressive spinal deformity. Whereas curve progression, complications and side-effects have been extensively studied in this patient population, no data are available on gait pattern changes and postural body adjustments. Our study evaluates whether gait pattern changed for ambulatory children treated with bilateral rib to pelvis implants compared to age-matched healthy children. In this small cohort study, gait analysis was performed using spatiotemporal and kinematic parameters of four ambulatory children with severe scoliosis and growthfriendly spinal implants using the bilateral rib to pelvis fixation. Data were statistically analyzed and compared to seven healthy age-matched children. Between both groups, no differences were seen in walking speed, cadence and stride length. The treated patients showed a lower range of motion of the pelvic obliquity and of the trunk obliquity and rotation, but a higher knee flexion. Growth-friendly spinal implants with bilateral rib to pelvis fixation are commonly used in wheelchair children and rarely indicated in ambulatory patients. The presented data show reduced trunk and pelvis motion using this implant construct. These findings help to understand body postural adjustments and add valuable information for families and care providers when considering this surgery. Level of evidence: Therapeutic level IV.

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“…Sie können an der Wirbelsäule selbst, an Rippen und/oder den Beckenkämmen fixiert sein mit Haken und/oder Schrauben (Campbell et al 2004;Hell et al 2018) Bei wachstumsfreundlichen Implantaten handelt es sich um Implantate mit einer Restflexibilität und möglichst wenig Fixierungspunkten, um Wachstum weiterhin zuzulassen und Autofusionen zu minimieren (Groenefeld und Hell 2013). Allen Systemen gemein ist, dass eine Verlängerung der Implantate erfolgt, sei es durch eine manuelle Distraktion während einer Operation oder von außen gesteuert (Campbell et al 2004;Akbarnia und Hosseini 2016;Lorenz et al 2019b). Die Zeitabstände variieren zumeist zwischen drei bis sechs Monaten.…”

Section: Indikation Der Behandlungunclassified

Etablierung der Methoden zur Messung des Metallabriebs von flexiblen Titan-Langzeitimplantaten bei Kindern mit Wirbelsäulendeformitäten

Wichmann¹

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Operative „No-touch“-Techniken zur Korrektur kindlicher Skoliosen

Cited by 4 publications

References 25 publications

Smaller Intervertebral Disc Volume and More Disc Degeneration after Spinal Distraction in Scoliotic Children

Smaller Intervertebral Disc Volume and More Disc Degeneration after Spinal Distraction in Scoliotic Children

Limited trunk motion and posterior pelvic tilting in ambulatory children treated with bilateral rib to pelvis implants for spinal deformity control

Etablierung der Methoden zur Messung des Metallabriebs von flexiblen Titan-Langzeitimplantaten bei Kindern mit Wirbelsäulendeformitäten

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