Show simple item record

dc.contributor.authorCanaz, Hüseyin
dc.contributor.authorAlataş, İbrahim
dc.contributor.authorCanaz, Gökhan
dc.contributor.authorGümüşsuyu, Gürkan
dc.contributor.authorÇaçan, Mehmet Akif
dc.contributor.authorSaraçoğlu, Ayten
dc.contributor.authorUçar, Bekir Yavuz
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:29Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:29Z
dc.date.issued2018en_US
dc.identifier.citationCanaz, H., Alataş, İ., Canaz, G., Gümüşsuyu, G., Çaçan, M., Saraçoğlu, A. ... Uçar, B. (2018). Surgical treatment of patients with myelomeningocele-related spine deformities: Study of 26 cases. Childs Nervous System, 34(7), 1367-1374. https://dx.doi.org/10.1007/s00381-018-3731-zen_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.urihttps://dx.doi.org/10.1007/s00381-018-3731-z
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1997
dc.descriptionWOS: 000434964700015en_US
dc.descriptionPubMed ID: 29372371en_US
dc.description.abstractScoliosis, kyphosis, and sacral agenesis (SA) are common spine deformities in myelomeningocele (MMC) patients. Surgery of spine deformities in MMC patients is associated with various difficulties as infection, pathological skin breakage, instrumentation failure, and neurological deterioration. The purposes of this study are to share our clinical experience and discuss different surgical techniques which are defined in the literature. We retrospectively evaluated our database of patients with MMC who underwent surgical procedures for spine deformities from 2014 to 2016. Demographic and clinical data, surgical parameters, surgical techniques and levels, pre- and postoperative deformity angles, level of posterior fusion defect, spinal malformations, neurological evaluation of lower extremities and complications were collated. We divided the cases into three groups according to the type of deformities. The groups were lumbar kyphosis (Group 1), congenital scoliosis (Group 2), and paralytic scoliosis (Group 3). There were 26 patients in the study. Fifteen patients were male and 11 patients were female. The median age of the patients was 8.03 (range = 3-17 years) at the time of operation. There were 10 patients in Group 1, 7 patients in Group 2, and 9 patients in Group 3. In Group 1, preoperative kyphosis angle varied between 51A degrees and 160A degrees, with an average of 95.7A degrees. In Group 2, preoperative Cobb angle varied between 57A degrees and 150A degrees, with an average of 106.6A degrees. Kyphosis was present in 4 patients. Preoperative kyphosis angle varied between 74A degrees and 140A degrees, with an average of 93A degrees. In Group 3, preoperative Cobb angle varied between 45A degrees and 145A degrees, with an average of 72.5A degrees. Spinal deformity in children with MMC has been considered to cause severe disability. Surgical treatment is a challenging procedure with a wide spectrum of complications, but can provide good correction of spinal deformity and pelvic obliquity, and improve the quality of life. Self-growing systems which are a new alternative to traditional growing rod systems, must be considered to preserve growing potential of spine.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectKyphosisen_US
dc.subjectMyelomeningoceleen_US
dc.subjectSacral Agenesisen_US
dc.subjectScoliosisen_US
dc.titleSurgical treatment of patients with myelomeningocele-related spine deformities: Study of 26 casesen_US
dc.typearticleen_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.authorid0000-0002-5175-3091en_US
dc.identifier.volume34en_US
dc.identifier.issue7en_US
dc.identifier.startpage1367en_US
dc.identifier.endpage1374en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1007/s00381-018-3731-zen_US
dc.identifier.wosqualityQ4en_US
dc.identifier.scopusqualityQ2en_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record