ANESTHETIC IMPLICATIONS FOR SURGICAL CORRECTION OF KYPHOSIS IN A CHILD WITH TYPE I MUCOPOLYSACCHARIDOSIS (HURLER SYNDROME): A CLINICAL CASE AND LITERATURE ANALYSIS

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Abstract

A clinical case of anesthetic management of a child with a complex and rare genetic disease such as type I mucopolysaccharidosis (Hurler syndrome) undergoing spine surgery is described. The surgery was indicated due to the presence of rapidly progressive severe deformity of the thoracolumbar section of the spine with augmentation of neurological symptoms. Risk factors are determined; the protocol and peculiarities of anesthetic management are described.

About the authors

A. N. Tretyakova

The Federal State Budgetary Institution Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics

Author for correspondence.
Email: anestezianik@mail.ru
Russian Federation

S. O. Ryabykh

The Federal State Budgetary Institution Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics

Email: rso_@mail.ru
Russian Federation

P. V. Ochirova

The Federal State Budgetary Institution Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics

Email: poleen@yandex.ru
Russian Federation

T. V. Ryabykh

The Federal State Budgetary Institution Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics

Email: rtatav@rambler.ru
Russian Federation

V. L. Shusharina

The Federal State Budgetary Institution Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics

Email: shusharina.vera2014@yandex.ru
Russian Federation

References

  1. Бучинская Н. В., Костик М. М., Чикова И. А., Исупова Е. А., Калашникова О. В., Часнык В. Г., Губин А. В., Рябых С. О., Очирова П. В. Скелетные проявления при мукополисахаридозах различных типов // Гений ортопедии. 2014. № 2. С. 81-90.
  2. Молчанов И. В., Буров Н. Е., Пулина Н. Н., Черкавский О. Н. Алгоритм действия врача при трудной интубации // Клиническая практика. 2012. № 2. С. 51-57.
  3. Abelin Genevois K. Surgical management of thoracolumbar kyphosis in mucopolysaccharidosis type 1 in a reference center // J. Inherited Metabolic Disease. 2014. Vol. 37, Is. 1. Р. 69-78.
  4. Baratela W. A., Bober M. B., Thacker M. M., Belthur M. V., Oto M., Rogers K. J. et al. Cervicothoracic myelopathy in children with Morquio syndrome A: a report of 4 cases // J. Pediatr. Orthop. 2014. Vol. 34, N 2. P. 223-228.
  5. Dede O. Upper Cervical Fusion in Children with Morquio Syndrome // J. Bone Joint Surg. Am. 2013, July 3. Vol. 95, N 13. P. 1228-1234.
  6. Mahoney A., Soni N., Vellodi A. Anaesthesia and the mucopolysaccharidoses: a review of patients treated by bone marrow transplantation // Pediatric Anesthesia. 1992. Vol. 2. Р. 317-324.
  7. Merkel S. I. et al. Practice applications of research. The FLACC: a behavioral scale for scoring postoperative pain in young children // Pediatric Nursing. 1997. Vol. 23, N 3. Р. 293-297.
  8. Moores C., Rogers J. G., Mckenzie I. M., Brown T. C. K. Anaesthesia for children with mucopolysaccharidoses // Anaesthesia and Intensive Care. 1996. Vol. 24, N 4, Р. 459-463.
  9. Muenzer J. The mucopolysaccharidoses: a heterogeneous group of disorders withvariable pediatric presentations // J. Pediatr. 2004. Vol. 144. S27-34.
  10. Neufeld E. F., Muenzer J. The mucopolysaccharidoses // C. Scriver, A. Beaudet, W. Sly et al. (eds.). The metabolic and molecular basis of inherited disease. - NewYork: McGraw-Hill, 2001. Р. 3421-3452.
  11. Pauchard N. et al. Perioperative Medullary Complications in Spinal and Extra-Spinal Surgery in Mucopolysaccharidosis: A Case Series of Three Patients // JIMD Reports. 2014. Vol. 16. Р. 95-99.
  12. Scriver C., Beaudet A. S. W., Valle D. The Metabolic and MolecularBasis of Inherited Disease // E. F. Neufeld, J. Muenzer (eds). The Mucopolysaccharidoses. - New York: McGraw-Hill, 2008.
  13. Tandon V. Spinal problems in mucopolysaccharidosis I (Hurler syndrome) // J. Bone Joint Surg [Br]. 1996. 78-B. Р. 938-944.
  14. Walker R. W. M., Darowski M., Morris P., Wraith J. E. Anaesthesia and mucopolysaccharidoses. A review of airway problems in children // Anaesthesia. 1994. Vol. 49, N 12. Р. 1078-1084.
  15. White K. K. Orthopaedic aspects of mucopolysaccharidoses // Rheumatology. 2011. Vol. 50. V26 - V33.
  16. White K. K., Harmatz P. Orthopedic management of mucopolysaccharide disease // J. Pediatric Rehabilitation Medicine: An Interdisciplinary. 2010. Ap. 3. Р. 47-56.
  17. Yasin M. N. et al. Thoracolumbar Kyphosis in Treated Mucopolysaccharidosis 1 (Hurler Syndrome) // Spine. 2014. Vol. 39, Is. 5. Р. 381-387.

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Copyright (c) 2015 Tretyakova A.N., Ryabykh S.O., Ochirova P.V., Ryabykh T.V., Shusharina V.L.

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