scholarly journals Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis

2016 ◽  
Vol 19 (1) ◽  
pp. 35-47
Author(s):  
Yasser El Banna ◽  
Samer Samy
Keyword(s):  
Congenital Scoliosis ◽  
Single Stage ◽  
Instrumented Fusion ◽  
Hemivertebra Resection

scholarly journals Posterior thoracolumbar hemivertebra resection and short-segment fusion in congenital scoliosis: surgical outcomes and complications with more than 5-year follow-up

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beixi Bao ◽  
Qingjun Su ◽  
Yong Hai ◽  
Peng Yin ◽  
Yaoshen Zhang ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Surgical Outcomes ◽  
Screw Fixation ◽  
Congenital Scoliosis ◽  
Pedicle Screw Fixation ◽  
Rigid Fixation ◽  
Short Segment ◽  
Hemivertebra Resection ◽  
Main Curve

Abstract Background Treatment of congenital hemivertebra is challenging and data on long-term follow-up (≥ 5 years) are lacking. This study evaluated the surgical outcomes of posterior thoracolumbar hemivertebra resection and short-segment fusion with pedicle screw fixation for treatment of congenital scoliosis with over 5-year follow-up. Methods This study evaluated 27 consecutive patients with congenital scoliosis who underwent posterior thoracolumbar hemivertebra resection and short-segment fusion from January 2007 to January 2015. Segmental scoliosis, total main scoliosis, compensatory cranial curve, compensatory caudal curve, trunk shift, shoulder balance, segmental kyphosis, and sagittal balance were measured on radiographs. Radiographic outcomes and all intraoperative and postoperative complications were recorded. Results The segmental main curve was 40.35° preoperatively, 11.94° postoperatively, and 13.24° at final follow-up, with an average correction of 65.9%. The total main curve was 43.39° preoperatively, 14.13° postoperatively, and 16.06° at final follow-up, with an average correction of 60.2%. The caudal and cranial compensatory curves were corrected from 15.78° and 13.21° to 3.57° and 6.83° postoperatively and 4.38° and 7.65° at final follow-up, with an average correction of 69.2% and 30.3%, respectively. The segmental kyphosis was corrected from 34.30° to 15.88° postoperatively and 15.12° at final follow-up, with an average correction of 61.9%. A significant correction (p < 0.001) in segmental scoliosis, total main curve, caudal compensatory curves and segmental kyphosis was observed from preoperative to the final follow-up. The correction in the compensatory cranial curve was significant between preoperative and postoperative and 2-year follow-up (p < 0.001), but a statistically significant difference was not observed between the preoperative and final follow-up (p > 0.001). There were two implant migrations, two postoperative curve progressions, five cases of proximal junctional kyphosis, and four cases of adding-on phenomena. Conclusion Posterior thoracolumbar hemivertebra resection after short-segment fusion with pedicle screw fixation in congenital scoliosis is a safe and effective method for treatment and can achieve rigid fixation and deformity correction.

Partial Hemivertebra Resection (Grade 4 Osteotomy) for Congenital Scoliosis: A Comparison with Radical Hemivertebra resection

2019 ◽  
Vol 130 ◽  
pp. e1028-e1033 ◽  
Author(s):  
Dun Liu ◽  
Bo Shi ◽  
Benlong Shi ◽  
Yang Li ◽  
Sanqiang Xia ◽  
...  
Keyword(s):  
Congenital Scoliosis ◽  
Hemivertebra Resection

scholarly journals Posterior hemivertebra resection with bisegmental fusion for congenital scoliosis: more than 3 year outcomes and analysis of unanticipated surgeries

2012 ◽  
Vol 22 (2) ◽  
pp. 387-393 ◽  
Author(s):  
Shengru Wang ◽  
Jianguo Zhang ◽  
Guixing Qiu ◽  
Shugang Li ◽  
Bin Yu ◽  
...  
Keyword(s):  
Congenital Scoliosis ◽  
Hemivertebra Resection
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