29-171

Tratamiento quirúrgico en las cifosis congénitas. Revisión de 14 pacientes

SURGICAL TREATMENT OF CONGENITAL KYPHOSIS. A REVIEW OF 14 PATIENTS OLDER THAN 5 YEARS

F. J. TABUENCA DUMORTIER*, E. HEVIA SIERRA**, P. GONZÁLEZ HERRANZ, R. DEGLANE MENESES** y M. SÁNCHEZ VERA** * Servicio de COT. Hospital General Móstoles. ** Servicio Cirugía de la Columna. Hospital «Ramón y Cajal». Madrid.
Recepción:
09/01/2009
Aceptación:
09/01/2009
Publicación:
09/01/2009


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Resumen (ES)

Fourteen patients with congenital kyphosis treated surgically between 1979-1989 were reviewed. All had a follow-up of 2 years or more, with an average follow-up of 7 years.The average age at surgery was 11 and the average kyphosis was 79°. Six cases hadposterior fusion only and eigth had combined anterior and posterior fusion. The results showedan average correction of the curve at surgery of 18° with posterior arthrodesis and 20°with combined arthrodesis. There was thus an average loss of 10° and 8° respectively fromthe time of surgery in both types of treatment. Pseudoarthrosis by short fusion ocurred inone case. Other complications after surgery were 1 radiculopathy, one wound infection andfour rod protusion (six patients). The factors that have influence in this results were analysed.A comparison from the results of treatment at other medical centers was also carriedout.

Palabras clave (ES):

Raquis
quirúrgico
Tratamiento
Deformidad
Torácico
Cifosis
Congénita

Resumen (EN)

Fourteen patients with congenital kyphosis treated surgically between 1979-1989 were reviewed. All had a follow-up of 2 years or more, with an average follow-up of 7 years.The average age at surgery was 11 and the average kyphosis was 79°. Six cases hadposterior fusion only and eigth had combined anterior and posterior fusion. The results showedan average correction of the curve at surgery of 18° with posterior arthrodesis and 20°with combined arthrodesis. There was thus an average loss of 10° and 8° respectively fromthe time of surgery in both types of treatment. Pseudoarthrosis by short fusion ocurred inone case. Other complications after surgery were 1 radiculopathy, one wound infection andfour rod protusion (six patients). The factors that have influence in this results were analysed.A comparison from the results of treatment at other medical centers was also carriedout.

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