{"id":6500,"date":"2025-08-22T12:00:39","date_gmt":"2025-08-22T10:00:39","guid":{"rendered":"https:\/\/complexspineinstitute.com\/?p=6500"},"modified":"2025-08-26T11:11:32","modified_gmt":"2025-08-26T09:11:32","slug":"correction-scoliose-skaggs","status":"publish","type":"post","link":"https:\/\/complexspineinstitute.com\/fr\/actualites-fr\/correction-scoliose-skaggs\/","title":{"rendered":"Correction chirurgicale de la scoliose"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"6500\" class=\"elementor elementor-6500 elementor-6468\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c467bc e-con-full e-flex e-con e-parent\" data-id=\"6c467bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b0403a elementor-widget elementor-widget-text-editor\" data-id=\"4b0403a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dans les cas d&rsquo;<strong>scoliose ou de d\u00e9formations de haut grade<\/strong> (early onset) dans le plan coronal, nous utilisons la <strong>technique de Skaggs<\/strong>, qui nous permet d&rsquo;obtenir une correction optimale dans des situations o\u00f9 les techniques traditionnelles de d\u00e9rotation seraient insuffisantes ou comporteraient un risque \u00e9lev\u00e9 de complications.<\/p>\n<p><strong>Cas clinique<\/strong><\/p>\n<p>Nous pr\u00e9sentons le cas d&rsquo;une <strong>patiente de 14 ans<\/strong> atteinte de <strong>scoliose idiopathique juv\u00e9nile<\/strong>, caract\u00e9ris\u00e9e par une <strong>courbe thoracique structur\u00e9e<\/strong> et une <strong>insuffisance ventilatoire restrictive s\u00e9v\u00e8re<\/strong> du c\u00f4t\u00e9 concave du thorax.<\/p>\n<p><strong>Notre approche au Complex Spine Institute<\/strong><\/p>\n<p>Au <strong>Complex Spine Institute<\/strong>, nous sommes sp\u00e9cialis\u00e9s dans la prise en charge des cas de chirurgie rachidienne les plus complexes. Toutes nos interventions sont r\u00e9alis\u00e9es dans un environnement de <strong>s\u00e9curit\u00e9 maximale<\/strong> et selon une approche multidisciplinaire :<\/p>\n<ul>\n<li><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f468-200d-2695-fe0f.svg\" alt=\"\ud83d\udc68\u200d\u2695\ufe0f\"><strong>3 chirurgiens sp\u00e9cialis\u00e9s en colonne vert\u00e9brale<\/strong><\/li>\n<li><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f489.svg\" alt=\"\ud83d\udc89\"><strong>2 anesth\u00e9sistes experts en interventions de haute complexit\u00e9<\/strong><\/li>\n<li><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1fa78.svg\" alt=\"\ud83e\ude78\"><strong>Support en h\u00e9matologie pour r\u00e9cup\u00e9ration sanguine et autotransfusion<\/strong><\/li>\n<li><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f9e0.svg\" alt=\"\ud83e\udde0\"><strong>Neurophysiologiste pour la surveillance perop\u00e9ratoire<\/strong><\/li>\n<li><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/16.0.1\/svg\/1f5a5.svg\" alt=\"\ud83d\udda5\"> <strong>Scanner perop\u00e9ratoire avec navigation<\/strong> pour une pr\u00e9cision maximale \u00e0 chaque geste chirurgical<\/li>\n<\/ul>\n<p>Gr\u00e2ce \u00e0 cette infrastructure et \u00e0 notre exp\u00e9rience, nous r\u00e9alisons des interventions de haute complexit\u00e9 avec les <strong>garanties de s\u00e9curit\u00e9 maximales<\/strong>, atteignant l&rsquo;objectif de <strong>corriger la d\u00e9formation et d&rsquo;am\u00e9liorer la qualit\u00e9 de vie<\/strong> de nos patients.<\/p>\n<p><strong>Notre engagement<\/strong><\/p>\n<p>Nous savons combien il peut \u00eatre difficile pour une famille d&rsquo;envisager ce type d&rsquo;intervention. C&rsquo;est pourquoi nous accompagnons nos patients et leurs parents \u00e0 chaque \u00e9tape du processus, du diagnostic \u00e0 la r\u00e9cup\u00e9ration. Notre objectif reste le m\u00eame : <strong>corriger la d\u00e9formation, prot\u00e9ger la sant\u00e9 et rendre la tranquillit\u00e9 et la confiance \u00e0 la famille<\/strong>.<\/p>\n<p><strong>Qu&rsquo;est-ce que la technique de Skaggs ou Distraction Interne Temporaire (TID) ?<\/strong><\/p>\n<p>La Temporary Internal Distraction (TID) ou Distraction Interne Temporaire, \u00e9galement connue sous le nom de technique de Skaggs, est une strat\u00e9gie chirurgicale en deux temps utilis\u00e9e dans les cas de scoliose de haut grade (&gt;90\u00ba), en particulier chez les patients p\u00e9diatriques. Elle permet une correction progressive de la courbure rachidienne sans compromettre la s\u00e9curit\u00e9 neurologique ni recourir \u00e0 la traction externe.<\/p>\n<p><strong>Comment cela fonctionne<\/strong><br>\nDeux tiges avec connecteurs sont utilis\u00e9es pour la distraction de la concavit\u00e9. Cette \u00e9tape peut \u00eatre r\u00e9alis\u00e9e en une ou deux fois avant la mise en place de la tige de stabilisation.<\/p>\n<p><strong>Principaux avantages<\/strong><\/p>\n<p>&#8211; \u00c9vite la traction halo prolong\u00e9e.<br>\n&#8211; Diminue le risque neurologique en \u00e9vitant les man\u0153uvres de d\u00e9rotation aigu\u00eb.<br>\n&#8211; Am\u00e9liore progressivement la capacit\u00e9 pulmonaire et l&rsquo;\u00e9quilibre esth\u00e9tique.<br>\n&#8211; Correction finale \u00e9lev\u00e9e sans n\u00e9cessit\u00e9 de lib\u00e9rations ant\u00e9rieures agressives.<\/p>\n<p><strong>R\u00e9sultats selon Buchowski ET AL. (JBJS, 2006\/2007)&nbsp;<\/strong><br>\n&#8211; Courbes initiales moyennes : 104\u00ba.<br>\n&#8211; Correction apr\u00e8s distraction : 53 % (de 104\u00ba \u00e0 49\u00ba).<br>\n&#8211; Correction finale apr\u00e8s fusion : 80 % (de 104\u00ba \u00e0 20\u00ba).<br>\n&#8211; Aucune complication neurologique.<br>\n&#8211; Am\u00e9lioration fonctionnelle respiratoire et esth\u00e9tique.<\/p>\n<p><strong>Indications<\/strong><br>\n&#8211; Scoliose idiopathique pr\u00e9coce ou neuromusculaire avec courbes &gt;90\u00ba.<br>\n&#8211; Insuffisance respiratoire restrictive due \u00e0 une d\u00e9formation thoracique.<br>\n&#8211; Courbes rigides avec peu de flexibilit\u00e9 \u00e0 la radiographie.<\/p>\n<p><strong>Au Complex Spine Institute<\/strong><br>\nNous avons une exp\u00e9rience des techniques d&rsquo;allongement interne progressif chez les enfants et les adolescents pr\u00e9sentant des d\u00e9formations s\u00e9v\u00e8res. Nous combinons cette technique avec une surveillance neurophysiologique et un support multidisciplinaire pour des r\u00e9sultats optimaux et s\u00e9curis\u00e9s.<\/p>\n<p>&nbsp;<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8e7b197 e-flex e-con-boxed e-con e-parent\" data-id=\"8e7b197\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1db9e33 elementor-widget elementor-widget-gallery\" data-id=\"1db9e33\" data-element_type=\"widget\" data-e-type=\"widget\" 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class=\"elementor-gallery-item__overlay\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a class=\"e-gallery-item elementor-gallery-item elementor-animated-content\" href=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/08\/escoliosis_1.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"1db9e33\" data-elementor-lightbox-title=\"escoliosis_1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjQ3NSwidXJsIjoiaHR0cHM6XC9cL2NvbXBsZXhzcGluZWluc3RpdHV0ZS5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA4XC9lc2NvbGlvc2lzXzEud2VicCIsInNsaWRlc2hvdyI6IjFkYjllMzMifQ%3D%3D\">\n\t\t\t\t\t<div class=\"e-gallery-image elementor-gallery-item__image\" data-thumbnail=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/08\/escoliosis_1-225x300.webp\" data-width=\"225\" data-height=\"300\" aria-label=\"\" role=\"img\" ><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-gallery-item__overlay\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<a class=\"e-gallery-item elementor-gallery-item elementor-animated-content\" href=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/08\/escoliosis_2.webp\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"1db9e33\" data-elementor-lightbox-title=\"escoliosis_2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjQ3MSwidXJsIjoiaHR0cHM6XC9cL2NvbXBsZXhzcGluZWluc3RpdHV0ZS5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA4XC9lc2NvbGlvc2lzXzIud2VicCIsInNsaWRlc2hvdyI6IjFkYjllMzMifQ%3D%3D\">\n\t\t\t\t\t<div class=\"e-gallery-image elementor-gallery-item__image\" data-thumbnail=\"https:\/\/complexspineinstitute.com\/wp-content\/uploads\/2025\/08\/escoliosis_2-225x300.webp\" data-width=\"225\" data-height=\"300\" aria-label=\"\" role=\"img\" ><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-gallery-item__overlay\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dans les cas d&rsquo;scoliose ou de d\u00e9formations de haut grade (early onset) dans le plan coronal, nous utilisons la technique de Skaggs, qui nous permet d&rsquo;obtenir une correction optimale dans des situations o\u00f9 les techniques traditionnelles de d\u00e9rotation seraient insuffisantes ou comporteraient un risque \u00e9lev\u00e9 de complications. Cas clinique Nous pr\u00e9sentons le cas d&rsquo;une patiente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6483,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[133],"tags":[],"class_list":["post-6500","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias"],"_links":{"self":[{"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/posts\/6500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/comments?post=6500"}],"version-history":[{"count":0,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/posts\/6500\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/media\/6483"}],"wp:attachment":[{"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/media?parent=6500"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/categories?post=6500"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/complexspineinstitute.com\/fr\/wp-json\/wp\/v2\/tags?post=6500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}