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Table 3 Individual MPS I patients – kyphosis surgery

From: Treatment of thoracolumbar kyphosis in patients with mucopolysaccharidosis type I: results of an international consensus procedure

Study

Patient ID (as reported in article)

Age at surgery (years)

Apex

Surgical approach

Levels of fusion

Kyphotic angle

Preoperative/postoperative

Complications

Angle at follow-up

Follow-up (years)

Abelin Genevois, JIMD, 2014 [17]

1

8.5

L1

Anteroposterior (circumferential) arthrodesis

T10-L4; corp T12-L2

70°/30°

Sylvian infarction

−29°

1

Abelin Genevois, JIMD, 2014 [17]

2

12

L1 L2

Posterior only arthrodesis; Anteroposterior (circumferential) arthrodesis

T11-L3

60°/13°

Adjacent segment listhesis: revision

21°

1.9

Abelin Genevois, JIMD, 2014 [17]

3

7.5

L2 L3

Anteroposterior (circumferential) arthrodesis

T11-L4

90°/−

Cardio-respiratory failure

Not reported (NR)

NR

Abelin Genevois, JIMD, 2014 [17]

4

8

L1 L2

Anteroposterior (circumferential) arthrodesis

T9-L3; corp T11-T12

50°/6°

Adjacent segment listhesis

39°

8.3

Abelin Genevois, JIMD, 2014 [17]

5

3.5

L1

Posterior only arthrodesis; Anteroposterior (circumferential) arthrodesis

T12-L5; corp L2-L3

90°/−

Adjacent segment listhesis: hip luxation

NR

3.5

Abelin Genevois, JIMD, 2014 [17]

6

15

L2 L3

Anteroposterior (circumferential) arthrodesis

T12-L5; corp L2-L3

65°/45°

Transient paraparesis

NR

2

Abelin Genevois, JIMD, 2014 [17]

7

9

L2

Anteroposterior (circumferential) arthrodesis

T11-L1; corp T1

45°/10°

No

20°

1.8

Abelin Genevois, JIMD, 2014 [17]

8

6

L3

Anteroposterior (circumferential) arthrodesis

L1-L4; corp L2-L3

30°/−4°

No

−10°

7.2

Abelin Genevois, JIMD, 2014 [17]

9

4.5

T12

Anteroposterior (circumferential) arthrodesis

T12-L3

84°/42°

Progressive scoliosis

−28°

0.9

Abelin Genevois, JIMD, 2014 [17]

10

9

L2

Anteroposterior (circumferential) arthrodesis

L1-L3; corp L2

35°/13°

No

21°

2.4

Abelin Genevois, JIMD, 2014 [17]

11

8.5

L2

Anteroposterior (circumferential) arthrodesis

T12-L3; corp L2

30°/−14°

No

25°

0.8

Abelin Genevois, JIMD, 2014 [17]

12

5

L2

Anteroposterior (circumferential) arthrodesis

T11-L3; corp T12-L2

34°/−10°

No

25°

6.3

Abelin Genevois, JIMD, 2014 [17]

13

5

L2

Anteroposterior (circumferential) arthrodesis

T12-L3

70°/52°

Hip dislocation

−22°

8.7

Roberts et al., Bone Joint J, 2016 [52]

7

6.8

T12

Circumferential arthrodesis

T10-L3

110°/65°

No

NR

7.2

Roberts et al., Bone Joint J, 2016 [52]

8

7.7

L1

Circumferential arthrodesis

T10-L4

94°/65°

No

NR

9.3

Roberts et al., Bone Joint J, 2016 [52]

9

16.8

L1

Circumferential arthrodesis with posterior instrumentation

T10-L5

78°/35°

No

NR

4.6

Roberts et al., Bone Joint J, 2016 [52]

10

2.8

L2

Circumferential arthrodesis with posterior instrumentation

T11-L4

56°/0°

Deep wound infection; stable 3.5proximal junctional kyphosis

NR

3.5

Roberts et al., Bone Joint J, 2016 [52]

11

4.1

L1-L2

Circumferential arthrodesis

T10-L4

110°/55°

No

NR

6.6

Roberts et al., Bone Joint J, 2016 [52]

12

3.1

T12

Circumferential arthrodesis with posterior instrumentation

T10-L3

62°/22°

No

NR

5.1

Roberts et al., Bone Joint J, 2016 [52]

13

3.4

L1-L2

Circumferential arthrodesis with posterior instrumentation

T12-L2

69°/12°

No

NR

5.8

Yasin et al., Spine, 2014

 

10

 

Combined anterior and posterior instrumented fusion

NR

84°

NR

36°

0.5

Yasin et al., Spine, 2014

 

4

 

VEPTR

NR

87°

NR

35°

1

Tandon et al., J Bone Joint Surg, 1996 [30]

1

2.8

L2

Posterior spinal fusion

L1-L3

80°/NR

NR

NR

NR

Tandon et al., J Bone Joint Surg, 1996 [30]

5

10.3

L2

Posterior spinal fusion

NR

56°/NR

NR

NR

NR

Tandon et al., J Bone Joint Surg, 1996 [30]

7

3.5

NR

Posterior spinal fusion

NR

40°/NR

At age 12y symptomatic cord compression at T10-T11

NR

NR

Garrido et al., Eur Spine J, 2014 [53]

2

2.4

L1

Anterior and posterior spinal arthrodesis with segmental pedicle screw instrumentation

T10-L3

70°/ 13° at follow up

Left lower lobe collapse after extubation

13°

NR

Garrido et al., Eur Spine J, 2014 [53]

3

3

T12

Anterior and posterior spinal arthrodesis with segmental pedicle screw instrumentation

T10-L3

63°/13° at follow up

No

13°

NR

Garrido et al., Eur Spine J, 2014 [53]

4

2.9

L1

Anterior and posterior spinal arthrodesis with segmental pedicle screw instrumentation

T10-L3

65°/12° at follow up

Wound-infection

12°

NR

Polgreen et al., Bone Marrow Transplantation, 2009 [55]

3

NR

NR

Spinal fusion

T9- L3

NR

NR

NR

NR

Polgreen et al., Bone Marrow Transplantation, 2009 [55]

5

NR

NR

Anteroposterior fusion

T10-L2

NR

NR

NR

NR

Polgreen et al., Bone Marrow Transplantation, 2009 [55]

6

5

NR

Posterior spinal fusion

NR

NR

Progression of kyphosis adjacent to previous fusion T1-T8

NR

NR

Polgreen et al., Bone Marrow Transplantation, 2009 [55]

7

NR

NR

Spinal fusion

T11-L3

NR

NR

NR

NR

Polgreen et al., Bone Marrow Transplantation, 2009 [55]

8

NR

NR

Posterior spinal fusion

T7-L3

NR

NR

NR

NR

Schmidt et al., Orphanet Journal of Rare diseases, 2016 [33]

15

7.8

NR

Posterior fusion

NR

90/NR

NR

NR

NR

Schmidt et al., Orphanet Journal of Rare diseases, 2016 [33]

19

14.3

NR

Posterior fusion

NR

NR

NR

NR

NR

Malm et al., Acta Paediatrica, 2008 [57]

A

NR

NR

Spinal fusion between T8 and L4

NR

NR

NR

NR

NR

Malm et al., Acta Paediatrica, 2008 [57]

B

NR

NR

Posterior spinal fusion of T10 to L4 and ventral spinal fusion of T12 to L3

NR

NR

NR

NR

NR

Hopwood et al., JIMD, 1993 [56]

P.F.

7

NR

Posterior spinal fusion

NR

NR

NR

NR

NR

Hopwood et al., JIMD, 1993 [56]

E.H.

10.3

NR

Posterior spinal fusion using the patient’s own left anterior iliac spine plus donor bone

NR

NR

NR

NR

NR

Souillet et al., Bone marrow transplantation, 2003 [58]

1

11.2 and 12.2

NR

Posterior spinal fusion and anterior spinal fusion

NR

NR

NR

NR

NR

Souillet et al., Bone marrow transplantation, 2003 [58]

12

3.4

NR

Posterior spinal fusion

NR

NR

NR

NR

NR

Stoop et al., JIMD reports, 2012 [45]

5

NR

NR

Short segment posterior fusion after pedicle subtraction osteotomy of L1

Th12 - L3

80°/ 12°

Kyphosis superior to the spondylodesis: 64°

NR

1.1

Yasuda et al., MGM reports, 2015 [59]

13

L2

Spinal fusion

T5-L3

NR

NR

NR

NR

Bekmez et al., J Pediatr Orthop,2016 [43]

3

8

L1

Posterior fusion

T10-L3

52°/15°

Distal junctional kyphosis

17

5.1

Makler et al., Surg Neurol Int, 2017 [60]

6

L1

Anterior release and posterior spinal fusion

NR

NR

NR

Complete resolution

3

Dalvie et al., Spine,2001 [44]

7

5

NR

Anterior instrumented correction and fusion

T11-L2

59°/18°

No

NR

0.4

Pauchard et al., JIMD reports, 2014 [61]

2

4

T12

Planned two-stage surgical correction, with initial posterior instrumentation of T12-L2, followed by anterior graft. After posterior surgery a complication➔ leading to removal of the hardware

T12-L2

90°/NR

Asymmetric paraplegia with partial sensory loss, requiring emergency surgery to remove the hardware

NR

NR