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Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients

Study design: Prospective case series. Purpose: To describe a new technique for anterior column reconstruction after kyphectomy in myelomeningocele patients using titanium mesh cage and to evaluate outcomes and complications. Methods: Sixteen patients with severe dorsolumbar kyphosis 2(ry) to myelom...

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Autores principales: Hussien, Mohammed Ali, Elbadrawi, Ahmed, Zayan, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904039/
https://www.ncbi.nlm.nih.gov/pubmed/35258451
http://dx.doi.org/10.1051/sicotj/2022006
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author Hussien, Mohammed Ali
Elbadrawi, Ahmed
Zayan, Mohammed
author_facet Hussien, Mohammed Ali
Elbadrawi, Ahmed
Zayan, Mohammed
author_sort Hussien, Mohammed Ali
collection PubMed
description Study design: Prospective case series. Purpose: To describe a new technique for anterior column reconstruction after kyphectomy in myelomeningocele patients using titanium mesh cage and to evaluate outcomes and complications. Methods: Sixteen patients with severe dorsolumbar kyphosis 2(ry) to myelomeningocele were enrolled with a mean age of 10.1 years. Kyphectomy procedure and long spinopelvic fixation were done, titanium mesh cage was used to reconstruct the anterior column. Operative time and intraoperative blood loss were calculated. Using the Cobb method, pre and postoperative measurements of local/regional kyphosis were done. Degree and mean percentage of correction were calculated. Anterior intervertebral height of the kyphotic area was also measured. The mean follow-up period was 27 months. Results: Operative time was 271.3 min ± 25, and estimated intraoperative blood loss was 781.3 mL ± 92.3. On average, 2.5 vertebrae were resected. All 16 patients were able to lie supine immediately postoperatively. The mean preoperative local/regional kyphosis was 107.5°, and 106.9° respectively, corrected to 22.5° and 28.8° postoperatively, with a mean degree of correction of 85° and 78.1° respectively. Mean preoperative anterior intervertebral height was 3.54 cm, improved to 4.64 cm postoperatively. Only 2 cases had a superficial wound infection managed conservatively. At the latest follow-up, no loss of correction pseudoarthrosis occurred, and all patients showed solid fusion. Conclusion: Titanium mesh cage is an efficient, easy method for anterior reconstruction following kyphectomy in myelomeningocele patients, to maintain postoperative correction. Level of evidence: Therapeutic studies, Level IV study
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spelling pubmed-89040392022-03-24 Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients Hussien, Mohammed Ali Elbadrawi, Ahmed Zayan, Mohammed SICOT J Original Article Study design: Prospective case series. Purpose: To describe a new technique for anterior column reconstruction after kyphectomy in myelomeningocele patients using titanium mesh cage and to evaluate outcomes and complications. Methods: Sixteen patients with severe dorsolumbar kyphosis 2(ry) to myelomeningocele were enrolled with a mean age of 10.1 years. Kyphectomy procedure and long spinopelvic fixation were done, titanium mesh cage was used to reconstruct the anterior column. Operative time and intraoperative blood loss were calculated. Using the Cobb method, pre and postoperative measurements of local/regional kyphosis were done. Degree and mean percentage of correction were calculated. Anterior intervertebral height of the kyphotic area was also measured. The mean follow-up period was 27 months. Results: Operative time was 271.3 min ± 25, and estimated intraoperative blood loss was 781.3 mL ± 92.3. On average, 2.5 vertebrae were resected. All 16 patients were able to lie supine immediately postoperatively. The mean preoperative local/regional kyphosis was 107.5°, and 106.9° respectively, corrected to 22.5° and 28.8° postoperatively, with a mean degree of correction of 85° and 78.1° respectively. Mean preoperative anterior intervertebral height was 3.54 cm, improved to 4.64 cm postoperatively. Only 2 cases had a superficial wound infection managed conservatively. At the latest follow-up, no loss of correction pseudoarthrosis occurred, and all patients showed solid fusion. Conclusion: Titanium mesh cage is an efficient, easy method for anterior reconstruction following kyphectomy in myelomeningocele patients, to maintain postoperative correction. Level of evidence: Therapeutic studies, Level IV study EDP Sciences 2022-03-07 /pmc/articles/PMC8904039/ /pubmed/35258451 http://dx.doi.org/10.1051/sicotj/2022006 Text en © The Authors, published by EDP Sciences, 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Hussien, Mohammed Ali
Elbadrawi, Ahmed
Zayan, Mohammed
Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title_full Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title_fullStr Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title_full_unstemmed Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title_short Kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
title_sort kyphectomy with anterior column reconstruction using titanium mesh cage in meningomyelocele patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904039/
https://www.ncbi.nlm.nih.gov/pubmed/35258451
http://dx.doi.org/10.1051/sicotj/2022006
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