SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL ABNORMALITY OF THE SPINE AND SPINAL CORD
Long-term results of surgical treatment in patients with caudal regression syndrome (at the age of 1 year 6 month to 9 years) were evaluated. Significant deformity at the lumbosacral level and severe instability between the spine and pelvis existed in these patients. Application of different diagnostic methods including x-ray and computed tomography is optimal in evaluation of children with congenital spine pathology like caudal regression syndrome. It allows to virtually plan the surgery, evaluate the final result and make prognosis on possible post-operative complications. Surgical treatment performed from dorsal approach included kyphotic deformity correction, stabilization of the spine with pelvis using metal implants and bone allografts. Sagittal profile restoration and stability of the spino-pelvic junction with bone fusion had been achieved.