![]() In conjunction with ET, dosed halo-gravitational traction was used in sitting in a chair and standing in a walking frame during preoperative preparation. ![]() The following is a clinical case of surgical treatment of a patient with severe kyphoscoliotic deformity associated with a congenital anomaly, type I diastematomyelia. Exercise therapy (ET) methods are used in the preoperative preparation of patients with scoliotic spine deformity to reduce the risk of complications in the early postoperative period and to increase the patient’s overall rehabilitation potential. According to some authors, preoperative halo-traction preparation is a well-tolerated and relatively safe procedure in the next-generation corrective surgery for severe kyphoscoliotic spinal deformity. Let us look more closely at the combined defect, diastematomyelia, with kyphoscoliosis. As a result, preliminary mobilization of the spinal cord is required by removing this spur. If a scoliotic deformity must be corrected in a patient, there is a high risk of neurological disorders due to spinal cord traumatization caused by fixation at the septum or in the caudal regions. ![]() The prevalence of congenital spinal deformities ranges from 0.5 to 1 case per 1000 newborns, with diastematomyelia diagnosed in 5% of children with congenital scoliosis. The septum can be isolated or combined with other congenital spinal abnormalities such as spina bifida, kyphoscoliosis, hemivertebrae, and butterfly vertebrae. It help analyze preoperative preparation in patients with congenital spinal deformities.ĭiastematomyelia is a rare congenital spinal cord anomaly characterized by splitting in the spinal canal along one or more vertebrae and being divided into two columns by an osseous (type I) or fibrous (type II) septum (spur). In the upcoming corrective surgery, an important role is also played by preoperative halo-traction training in combination with therapeutic physical culture.ĬLINICAL CASE DESCRIPTION : A clinical case of the use of the «Tergumed 3D» intelligent biofeedback system in assessing the effectiveness of preoperative halo-gravity traction in combination with mobilizing therapeutic physical culture in a patient with complex spinal deformity against the background of congenital malformation (type I diastematomyelia) to prepare for surgical correction is presented.ĬONCLUSION : The results of this study suggest that the combination of physical therapy and halo-traction can be effectively used for preoperative preparation of patients with rigid scoliotic deformities and spinal anomalies. Therefore, its preliminary mobilization surgically is necessary. When correcting scoliotic deformity, patients with this anomaly have a high risk of developing neurological disorders due to its fixation. BACKGROUND : Diastematomyelia is a rare congenital anomaly of the spinal cord, characterized by its cleavage in the spinal canal, which can be combined with spinal deformity.
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