Vergara FHJ, Cardoso MA, Rosales MME

Language: Spanish
References: 12
Page: 18-21
PDF size: 90.57 Kb.

ABSTRACT

Introduction: Luque segmental spine instrumentation Luque-Cardoso (SSI in Duchenne muscular dystrophy (DMD), in early or later form to that the patients stop to walk, prevents the quick deterioration of the ventilatory function, diminishes the incidence of breathing infections and improves the position. Material, method and results: A retrospective study of 55 patients with Duchenne muscular dystrophy (DMD), whom underwent Luque-Cardoso Segmental Spinal Instrumentation from 1995 to 2002, was studied. The age at time of surgery was 10.10 (7.2-17.2). The operation average time was 2.07 hrs (1.10-5.15). Bleeding average was 464cc (80-1350). The capacity vital pre and postop was of 53%; age average of the last control was of 13.9 years (r 9.2-17.9) and evolution 2.7 year-old postop (r 1.0-8.1) observing a favourable evolution in 93% of the cases and 7% of complications. Conclusion: The posterior segmental fusion in early form of DMD before the patient develops deformities, like xifoscoliosis and/or loses walking capabilities. The SSI allows maintaining straight patient’s spine, conserving their physiologic curves of the spine. It doesn’t improve but stops the progressive deterioration of the cardiopulmonary function and decrease, the incidence of respiratory infections. We recommend this technique for its simplicity with minor bleeding and transop time required.

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