45-241

Tratamiento quirúrgico de la escoliosis en el síndrome de Rett. Sistema de Instrumentación TRANSPINE®

Surgical treatment of scoliosis in Rett syndrome. TRANSPINE®. Instrumentation System.

D. BONETE LLUCH, L.A. PÉREZ MILLÁN, I. ESCRIBÁ ROCA, T. BAS HERMIDA, P. BAS HERMIDA SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. UNIDAD DE RAQUIS. HOSPITAL UNIVERSITARIO LA FE. VALENCIA.
Recepción:
07/05/2010
Aceptación:
07/05/2010
Publicación:
07/05/2010


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Resumen (ES)

Rett Syndrome is a neurological impairment with a typically long C scoliosis curve that often require surgery. In this study it has been reviewed 11 patients with Rett syndrome and spine deformity. We analyzed the magnitudes of the curves with Cobb angle, sagittal plane (kyphosis and lordosis), preoperative and postoperative pelvic obliquity, fusion levels and postoperative complications. The average correction was 65%. Posterior fusion was performed in all patients excluding sacrum pelvis. The assemblies are made mainly with the hybrid system of screws, hooks, clips and cables TRANSPINE®. Neuromuscular scoliosis, such as Rett syndrome, which needs correction, can be controlled safely and effectively by posterior fusion with hybrid constructs.

Palabras clave (ES):

Tratamiento
quirúrgico
Corrección
Transpine
Instrumentación
Rett
Sindrome
Deformidad
Escoliosis
Raquis

Resumen (EN)

Rett Syndrome is a neurological impairment with a typically long C scoliosis curve that often require surgery. In this study it has been reviewed 11 patients with Rett syndrome and spine deformity. We analyzed the magnitudes of the curves with Cobb angle, sagittal plane (kyphosis and lordosis), preoperative and postoperative pelvic obliquity, fusion levels and postoperative complications. The average correction was 65%. Posterior fusion was performed in all patients excluding sacrum pelvis. The assemblies are made mainly with the hybrid system of screws, hooks, clips and cables TRANSPINE®. Neuromuscular scoliosis, such as Rett syndrome, which needs correction, can be controlled safely and effectively by posterior fusion with hybrid constructs.

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