Posterior Kyphectomy in a Myelomeningocele Patient with Gibbous Deformity: A Case Report and Literature Review

سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 64

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شناسه ملی سند علمی:

JR_INJPM-8-11_020

تاریخ نمایه سازی: 5 شهریور 1402

چکیده مقاله:

Myelomeningocele is a condition caused by the disjunction of neuroectoderm and ectoderm during embryogenesis. It can lead to neuronal structure disorders such as kyphosis and scoliosis, with scoliosis being more common. Kyphosis is found in ۱۰-۱۵% of these patients and can cause poor clinical consequences. The annual progression of Kyphosis is approximately ۸ to ۱۲ degrees.  Kyphosis is a limiting factor in rehabilitation due to the inability of the patients to sit in wheelchairs and in the apex of the kyphotic region. This study aims to report a similar condition in a ۱۴-year-old Iranian boy who underwent surgery for posterior kyphectomy. In the majority of cases with kyphosis, anterior wedging occurs in the vertebral body where the apex of the deformity is located. In the studied patient, the deformity had a round curve with no definite apex to mark out. These deformities need special surgical approaches and postoperative care.

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نویسندگان

Ehsan Keykhosravi

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Amin Tavallaii

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Masood Pishjoo

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Behzad Aminzadeh

Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mona Maftouh

Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mohammad Ali Abouei Mehrizi

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Mohammadreza Shahmohammadi

Functional Neurosurgery Research Center, Shohada Tajrish Neurosurgical Comprehensive Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Hamid Rezaee

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.