Revision Spine Surgery in the Growing Child

摘要: Growing children with intractable spinal deformity are a very challenging clinical problem. Surgical management is similarly difficult, efforts made to preserve growth remaining in the spine and avoid complications. The revision pediatric surgeon must understand mechanisms involved failure of their patient’s prior surgeries, needs develop strategy that will manage identified issues, as well those reasonably be expected remainder maturity. Reviewed here concepts for thorough evaluation, development surgical plan, introduction techniques routinely used surgery. Among most powerful “tool box” osteotomies, including posterior column only variations traverse all three columns. Revision surgeries at times require both an anteroposterior approach, attempts do these under single anesthesia; however, when “softening” required obtain additional correction, such use halo, staging typically tolerated. goals patients include obtaining balanced coronal sagittal planes, solid arthrodesis, minimizing postoperative pain, while risk complications morbidity. Excellent outcomes can appropriately diagnosed, operated, postoperatively convalesced.