A new approach for spinal deformity patients with meningomyelocele: reverse Y incision


Polat Ö., Gümüşsuyu G., Aman T., ÖZCAN Ç., Uçar B. Y.

British Journal of Neurosurgery, cilt.34, sa.4, ss.434-437, 2020 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 4
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1080/02688697.2020.1753171
  • Dergi Adı: British Journal of Neurosurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE, Violence & Abuse Abstracts
  • Sayfa Sayıları: ss.434-437
  • Anahtar Kelimeler: Spina bifida, approach, meningomyelocele, spinal deformity, reverse Y incision
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

We report a new surgical incision for spinal deformity in patients who had undergone meningomyelocele closure surgery. Six patients underwent kifectomy using an inverse Y incision. They all had multiple prior operations in the lumbar region due to dural meningomyeloceles. Four of the patients were girls. The primary indication for the reverse Y incision was a T12 and above posterior fusion defect and a large lumbar posterior fusion defect. These patients included four with kyphoscoliosis, one with lordoscoliosis, and one with lumbar kyphosis. The median age of the patients was 5.52 at the time of operation. The median follow up time was 17.3 months. Under appropriate indication, the reverse Y approach offers a reliable and successful solution for surgery.