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dc.contributor.authorHamzaoglu, Azmi
dc.contributor.authorAlanay, Ahmet
dc.contributor.authorOzturk, Cagatay
dc.contributor.authorSarier, Mercan
dc.contributor.authorKaradereler, Selhan
dc.contributor.authorGaniyusufoglu, Kursat
dc.date.accessioned2019-08-13T12:10:23Z
dc.date.accessioned2019-08-13T16:04:13Z
dc.date.available2019-08-13T12:10:23Z
dc.date.available2019-08-13T16:04:13Z
dc.date.issued2011
dc.identifier.issn0362-2436
dc.identifier.issn1528-1159
dc.identifier.urihttps://dx.doi.org/10.1097/BRS.0b013e3182015712
dc.identifier.urihttp://hdl.handle.net/11446/3258
dc.descriptionWOS: 000287446300008en_US
dc.descriptionPubMed ID: 21325930en_US
dc.description.abstractStudy Design. Retrospective case series. Objective. To analyze the efficacy and safety of posterior vertebral column resection (PVCR) performed to a consecutive series of patients with severe spinal deformity and managed by PVCR. Summary of Background Data. The treatment of severe spinal deformities is a demanding and difficult surgical challenge. Conventional procedures such as posterior and anterior instrumentation or combined anteroposterior instrumentation afford limited correction in rigid neglected or maltreated (fused) deformities. Methods. A total of 102 consecutive patients with severe deformity and managed by PVCR between years 1996 and 2007 having more than 2 years follow-up were included. Mean age was 37.6 (range = 2-84 years) years at the time of operation. The hospital charts were reviewed for demographic data and etiology of deformity. Measurements of curve magnitude and balance were made on 36-inch standing anteroposterior and lateral radiographs taken before surgery and at most recent follow-up to assess deformity correction, spinal balance, complications related to the instrumentation, and any evidence of pseudarthrosis. Results. Preoperative coronal plane major curve of 102 degrees (range = 80 degrees-29 degrees) with flexibility of less than 30% was corrected to 38.3 degrees (range = 20 degrees-72 degrees) showing a 62% scoliosis correction at the final follow-up. Coronal imbalance was improved 72% at the most recent follow-up assessment. Preoperative thoracic kyphosis of 83 degrees (range = 65 degrees-104 degrees) in patients with kyphosis was corrected to 36 degrees (range = 25 degrees-48 degrees) at the most recent follow-up evaluation. Lumbar lordosis of 25 degrees (range = 8 degrees-35 degrees) in patients with hypolordotic deformity was corrected to 42 degrees. Two patients had nerve root palsies not identified during the surgery and healed completely in 6 months after surgery. Conclusion. PVCR is an effective technique because it is a spinal column shortening procedure and it allows to do correction in same session. However, it is a technically demanding procedure with possible risks for major complications.en_US
dc.language.isoengen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.isversionof10.1097/BRS.0b013e3182015712en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectdeformityen_US
dc.subjectosteotomyen_US
dc.subjectsurgeryen_US
dc.titlePosterior Vertebral Column Resection in Severe Spinal Deformities A Total of 102 Casesen_US
dc.typearticleen_US
dc.relation.journalSPINEen_US
dc.contributor.departmentDBÜen_US
dc.identifier.issue5en_US
dc.identifier.volume36en_US
dc.identifier.startpageE340en_US
dc.identifier.endpageE344en_US
dc.contributor.authorID0000-0003-3133-206Xen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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