Surgical technique: proximal extension of instrumentation using sublaminar bands for salvage of postoperative proximal junctional failure in pediatric patients.

IF 1.6 Q3 CLINICAL NEUROLOGY
Spine deformity Pub Date : 2024-07-01 Epub Date: 2024-03-27 DOI:10.1007/s43390-024-00851-w
Mason A Fawcett, Richard M Schwend
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引用次数: 0

Abstract

Purpose: Proximal junctional failure is a complication that can occur following posterior spine surgery with instrumentation. The ability to surgically revise this complication is important for the spine surgeon, yet there is little literature on the topic, especially for pediatric patients.

Methods: The technique we describe involves proximal extension of the existing instrumentation using paired levels of sublaminar bands that allows for a smooth transition of forces at the junction of instrumented and non-instrumented regions of the spine.

Results: The results of this technique have been promising with a case series demonstrating improved radiographic and clinical outcomes for eight children at a minimum of 1 year follow-up.

Conclusion: This a reliable, effective, and safe technique for salvage of PJF in children that uses posterior osteotomies and proximal extension of the instrumentation using sublaminar bands, resulting in gradual load sharing correction to restore sagittal balance.

手术技巧:使用层下带进行器械近端延伸,挽救术后近端连接失败的儿科患者。
目的:近端连接失败是使用器械进行脊柱后路手术后可能出现的一种并发症。对脊柱外科医生来说,手术修复这种并发症的能力非常重要,但这方面的文献却很少,尤其是针对小儿患者:方法:我们介绍的技术包括使用成对的层下带对现有器械进行近端延伸,使脊柱器械区和非器械区交界处的力量平稳过渡:结果:这项技术的效果很好,在至少 1 年的随访中,8 名儿童的影像学和临床效果得到了改善:这是一种可靠、有效且安全的儿童 PJF 抢救技术,使用后方截骨和近端延伸器械,并使用层下带,从而逐步分担矫正负荷,恢复矢状面平衡。
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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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