Surgical treatment of Sprengel’s deformity using neurophysiological monitoring: analysis of a 7-year cohort

Ryabykh S.O., Savin D.M., Sayfutdinov M.S., Ochirova P.V., Gubin A.V., Filatov E.Y., Ulrikh G.E., Skripnikov A.A.

Abstract


Design
Presentation of clinical cases and literature analysis.
Material and methods
Clinical observation of patients with congenital cervical spine and shoulder girdle anomalies operated on with neuromonitoring was performed. Operative treatment of Sprengel’s deformity was produced with the use of neuroimaging.
Results
Surgical treatment resulted in good clinical outcomes without neurological adverse events and good aesthetic and radiological appearance at the descended scapula.
Discussion
Consideration for intraoperative neuromonitoring should be given to prevent neurological complications at lowering the elevated scapula.
Conclusion
Review of outcomes showed efficacious application of the most valid methods used to descend the scapula with neuromonitoring. This was supported by clinical and radiological findings of the extent of cranial transposition after appropriate correction and absence of neurological adverse events early postsurgery and at a long-term follow-up. No recurrence of scapular dislocation was observed at a long-term follow-up.

Keywords


Sprengel’s deformity, elevation of the scapula, neuromonitoring, electroneuromyography

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DOI: http://dx.doi.org/10.18019/1028-4427-2019-25-4-550-554

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