Mustafa CANİKLİOĞLU, Alper GÖKÇE, Yusuf ÖZTÜRKMEN, Nevzat Selim GÖKAY, Yunus ATICI, Onat ÜZÜMCÜGİL

Erken yaştaki çocuklarda skolyoz tedavisinde büyüyen rod tekniğinin klinik ve radyolojik sonuçları

Amaç: Bu çal›flman›n amac› skolyozu olan erken yafltaki çocuklarda büyüyen rod tedavisinin klinik ve radyolojik sonuçlar ve solunum fonksiyonlar› üzerine etkilerinin incelenmesidir. Çal›flma plan›: 1997-2007 y›llar› aras›nda ameliyat etti¤imiz 24 bayan, 1 erkek hasta geriye dönük ola- rak de¤erlendirildi. On alt› hastada çift büyüyen rod, 9 hastada ise tek büyüyen rod kullan›ld›. ‹lk cerra- hi esnas›nda hastalar›n yafl ortalamas› 7.38±3.8 idi. Konvansiyonel grafilerde Cobb aç›s›, T1-S1 omurga uzunlu¤u ve enstrümentasyon uzunlu¤u ölçüldü. Son kontrol esnas›nda hastalar›n solunum fonksiyonla- r› de¤erlendirildi. Bulgular: Hastalara ortalama 44.9 ayl›k süre içerisinde ortalama 4.2 say›da uzatma ifllemi uyguland›. Füzyon sonras› dönemde Cobb aç›s› ortalama 56.7 dereceden 25.1 dereceye geriledi. T1-S1 omurga uzunlu¤u bafllang›çta 27.2±3.4 cm iken, ilk ameliyat sonras› 34.9±3.6 cm, füzyon sonras›nda ise 38.6±3.7 cm olarak ölçüldü. Ortalama uzama miktar› y›lda 1±0.4 cm idi. Son kontroldeki solunum fonksiyonlar› ortalama de¤erleri FVC: 83.5±3.5, FEV: 84.8±5.3 ve FVC/FEV1: 1±0.046 olarak saptand›. On iki hasta- da komplikasyon görüldü. Komplikasyonlar›n sekizi materyal iliflkiliydi. Ç›kar›mlar: Omurga deformitelerinin tedavisinde büyüyen rod tedavisi, omurga yüksekli¤inin sa¤- lanmas› ve solunum fonksiyonlar›n›n gelifltirilmesi aç›s›ndan etkin bir tedavi yöntemidir.

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