Ke Xu
Cefei Zhang
*
Fuyun Liu
*The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Surg.
Sec. Pediatric Orthopedics
Volume 11 - 2024 |
doi: 10.3389/fsurg.2024.1369112
Analysis of therapeutic effects of congenital kyphosis in children due to anterior vertebral bone bridges
Provisionally accepted- Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Objective: To investigate the choice of treatment options and long-term orthopedic results of congenital kyphosis in children due to anterior vertebral bone bridges.Methods: The clinical data of children with congenital kyphosis due to anterior vertebral bridges treated at our center from May 2005 to May 2020 were retrospectively analyzed. We evaluated the clinical features of the deformity, the choice of treatment plan, the change in the Cobb angle of the kyphosis and the improvement of the sagittal trunk deviation before and after treatment and at the final follow-up visit by means of pre-treatment and post-treatment imaging, physical examination and analysis of the case data.Results: A total of 35 children were included. Clinical follow-up was conducted on a cohort of 5 children, all of whom presented with type Ⅱ congenital kyphosis caused by less than three thoracic anterior bone bridges. The study findings revealed no noteworthy advancement in segmental kyphosis, thoracic kyphosis, lumbar lordosis, and sagittal vertical axis during the final follow-up assessment (p> 0.05). In a cohort of 30 pediatric patients who underwent surgical intervention, segmental kyphosis was corrected, with a decrease from an average angle of (40.1±20.5)° to (15.6±9.5)°. Furthermore, significant improvements were noted in segmental kyphosis, thoracic kyphosis, lumbar lordosis, and sagittal vertical axis at the postoperative stage compared to the preoperative stage (p<0.05). Notably, improvements in thoracic kyphosis and lumbar lordosis persisted at the final follow-up visit compared to postoperative (p<0.05).Conclusion: Type Ⅱ congenital kyphosis in children caused by anterior bony bridges of less than three vertebrae in the thoracic segment can be followed up for a long period, and type Ⅱ/Ⅲ congenital kyphosis caused by anterior bony bridges of the vertebrae in the thoracolumbar, lumbar, and lumbosacral segments requires early surgery.
Keywords: Congenital kyphosis, vertebral bone bridge, surgical treatment, Children, Kyphosis
Received: 11 Jan 2024; Accepted: 24 Jul 2024.
Copyright: © 2024 Xu, Zhang, Xia, Zhao, Jiang, Li, Hu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Cefei Zhang, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Bing Xia, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Yufeng Zhao, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Xiaowei Jiang, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Chonghao Li, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Weiming Hu, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Fuyun Liu, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.