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[Surgical treatment of kyphosis in children and adolescents].
- Source :
-
Operative Orthopadie und Traumatologie [Oper Orthop Traumatol] 2024 Feb; Vol. 36 (1), pp. 33-42. Date of Electronic Publication: 2023 Sep 13. - Publication Year :
- 2024
-
Abstract
- Objective: Correction of a pathological kyphosis to restore a balanced, low-pain or pain-free and load-bearing spine.<br />Indications: Pronounced sagittal imbalance, progressive kyphosis despite conservative therapy, and neurological deficits are indications for surgery. Further surgical indications are severe therapy-resistant complaints and/or psychologically burdening cosmetic impairment. The guidelines for surgical indications are kyphosis angles of 75-80° thoracic and 30-50° lumbar.<br />Contraindications: No specific, but general contraindications for surgical treatment.<br />Surgical Technique: Depending on the characteristics of the kyphosis, different surgical techniques are used. Rod-screw systems are mainly used, and surgery is primarily performed by shortening the spinal column from posterior using a wide variety of techniques. In individual cases, this can be combined with ventrally mobilizing, resecting, or straightening techniques.<br />Postoperative Management: The aim of surgical treatment is to achieve a primarily stable and weight-bearing spine. Regular wound control as well as stabilizing physiotherapy during follow-up are essential. Postoperatively, initially abstaining from sports; later physical activity is encouraged under professional guidance.<br />Results: The literature shows very good corrective results in children and adolescents. The technical procedures are associated with a low and acceptable complication rate. Over the course of time, these patients must be monitored in order to detect possible long-term complications such as junctional kyphosis or pseudarthrosis.<br /> (© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
Details
- Language :
- German
- ISSN :
- 1439-0981
- Volume :
- 36
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Operative Orthopadie und Traumatologie
- Publication Type :
- Academic Journal
- Accession number :
- 37704775
- Full Text :
- https://doi.org/10.1007/s00064-023-00828-4