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Pioneering surgery repairs girl's spine with leg bone

singveld

Alfrescian (Inf)
Asset
Pioneering surgery repairs girl's spine with leg boneRosie Davies had a 10cm gap in her spine bridged with bone from her legs

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A five-year old girl has had pioneering surgery to repair a large gap in her spine using bone taken from her legs.

Before the operation, Rosie Davies, from Walsall in the West Midlands, was "basically a timebomb", her family said.

Missing bones in her spine meant her upper body weight was unsupported and her inner organs were being crushed.

The lifesaving surgery came at the cost of her lower legs, which she had always been unable to move.

Rosie was born with a very rare disorder called spinal segmental dysgenesis. Five bones which made up part of her spine were missing, leaving a 10cm gap in her backbone. Her legs were also contorted up against her belly and she had very little feeling in them.

She was slowly running out of space in her chest - and running out of time. Eventually the internal crush would have led to Rosie's organs failing, which would have killed her.

In her last scan before the operation there was evidence of her kidneys being crushed.

Leg-to-spine
Rosie's legs were amputated from the knee down and a section of bone was taken to bridge the gap in her spine.

Two metal rods were then bolted to the upper spine and the hips to provide extra support.
The operation at Birmingham Children's Hospital took 13 hours.

Her dad Scott said: "Before she was basically a timebomb - we never knew how long it would take to go off, we never knew how long we actually had with her.

"Since having the op she's now had her life expectancy increased to that of a normal child."

Since the surgery there have been early signs of sensation returning to her legs, which means it may be possible for Rosie to one day walk with prosthetic legs.

Her mum Mandy said: "Rosie is such a strong character. You give her the equipment to use and she'll do it, whether it's sticks or artificial legs or her hands - she'll make a way of walking.

"All she has ever wanted to do is be like her sister. All she's wanted to do is ride her bike like her sister, run like her sister."

Rosie's parents said she now had more confidence.

An operation of this scale has never been attempted in Europe before. The only similar procedure took place 10 years ago in New Zealand.

Mr Guirish Solanki, one of the consultant neurosurgeons who operated on Rosie, said: "We are delighted with the results of this operation.

"This is only the second time in the world that a surgical team has attempted to fix the thoracic spine to the hip side bones for a condition as rare as Rosie's.

"This case was very complicated as normally children with this condition do not have a working spinal cord or nerves but Rosie did. So in carrying out this procedure we had to be extremely careful not to damage her nerves."

http://www.bbc.co.uk/news/health-20648416
 
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BotakHead

Alfrescian
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Since the surgery there have been early signs of sensation returning to her legs, which means it may be possible for Rosie to one day walk with prosthetic legs.

Extremely tough decisions. She is so brave.
 

singveld

Alfrescian (Inf)
Asset
Brave Rosie, 5, has her legs AMPUTATED to fix her spine... and stop her internal organs from crushing her to death

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A girl whose organs were slowly being crushed under their own weight because of a spinal defect has been saved - after doctors amputated her legs and inserted the bones into her back.

Rosie Davies, five, was born with a massive gap in her spine, and her legs were folded up under the back of her thighs.

The missing segment meant Rosie's body did not have enough support and she may have died from organ failure.
But doctors at Birmingham Children’s Hospital saved her life after coming up with a radical solution - amputate her lower legs, which had very little feeling in them, and use the bone to forge the gap in her spine.

Rosie, from Walsall in the West Midlands, became the first child in the UK and only the second person in the world to undergo the pioneering surgery last month and is now recovering well.

Her mother, Mandy Collett, could not be more proud of her.

She said: 'Rosie has never considered herself as disabled. She decides what she wants to do, and finds a way to do it, overcoming any obstacle.

'She has always been very active enjoying dance, sport and playing with others. She is an exceptionally bright young girl who is above average academically.'

Rosie is the only person in the UK to have the extremely rare spinal condition, spinal segmental dysgenesis of the lumbar spine, where the lower segment of her spine is missing. Earlier attempts to straighten her legs had been unsuccessful, leading doctors to consider the risky surgery.
During the complex operation by a team of seven, Rosie’s lower legs were amputated where she had little or no feeling, and bone was taken from one of her legs and grafted to the base of her spine.

Two 15cm long rods were screwed in place – carefully avoiding the nerves – to create a type of 'scaffolding' from the upper part of her spine down to the hip bone. The operation took a grueling 13 hours.

Before the operation Rosie did have some feeling in her lower body. At eight months old she was able to move herself around adopting a commando style crawl suggesting that her spine and nerves were working after all.

Now, after the operation Rosie already has more sensation in the upper part of her legs. It is a huge development and opens up the possibility that Rosie may one day walk using prosthetic limbs.

Ms Collett said: 'The only thing that Rosie has been unable to do is walk, which is her ultimate goal in life. After her operation and with the correct support we’re confident now that she will be able to find a way to do that - to some degree.

'She loves her older sister Mia dearly, and has always aspired to be like her. She always says she would like to walk like Mia one day and that Mia would teach her.'


Both she and Rosie's father Scott, thanked staff at Birmingham Children's Hospital.

'I know from talking to the surgeons that there were some very tough decisions that needed to be made as the surgery progressed, and I am grateful for their ability to work through difficult circumstances to give our daughter the best chance of reaching her full potential,' Ms Collett said.

Consultant Neurosurgeon Mr Guirish Solanki from Birmingham Children’s Hospital, who was one of the three surgeons to operate on Rosie, said: 'We are delighted with the results of this operation. This is only the second time in the world that a surgical team has attempted to fix the thoracic spine to the hip side bones for a condition as rare as Rosie’s.

'This case was very complicated as normally children with this condition do not have a working spinal cord or nerves but Rosie did. So in carrying out this procedure we had to be extremely careful not to damage her nerves.'
 

singveld

Alfrescian (Inf)
Asset
Extremely tough decisions. She is so brave.

tears in my eyes when i watch the video.

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