Umraniye Education and Research Hospital Department of Orthopeadics and Traumatology, University of Health Sciences, Umraniye, Turkey.
Hospital Department of Orthopeadics and Traumatology, Altınbaş University Medical Park Bahçelievler, Bahçelievler, Turkey.
Br J Neurosurg. 2020 Aug;34(4):434-437. doi: 10.1080/02688697.2020.1753171. Epub 2020 Apr 17.
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.
我们报告了一种用于治疗脊膜脊髓膨出修补术后脊柱畸形的新手术切口。6 例患者采用倒 Y 切口行减压术。所有患者均因硬脊膜脊膜膨出而在腰部多次手术。4 例患者为女性。倒 Y 切口的主要适应证是 T12 及以上后路融合缺陷和较大的腰椎后路融合缺陷。这些患者包括 4 例后凸侧凸，1 例后凸侧凸，1 例腰椎后凸。患者的平均年龄为手术时 5.52 岁。中位随访时间为 17.3 个月。在适当的适应证下，倒 Y 入路为手术提供了可靠和成功的解决方案。
