Study Design: Retrospective study with clinical evaluation of posterior hemivertebra resection with transpedicular instrumentation in very young children.
Objective: Assessment of early intervention in congenital scoliosis by posterior approach with transpedicular instrumentation.
Summary Of Background Data: Hemiepiphysiodesis and hemiarthrodesis are unpredictable in their effects. Hemivertebra resections in older children often require a long fusion segment because of secondary structural curves.
Materials And Methods: Twenty-eight consecutive cases of congenital scoliosis in very young children were operated on by hemivertebra resection by a posterior-only approach with transpedicular instrumentation. Mean age at time of surgery was 3 years and 4 months. They were retrospectively studied with a mean follow-up of 3.5 years.
Results: Mean Cobb angle of the main curve was 45 degrees before surgery, 14 degrees after surgery, and 13 degrees at latest follow-up. Compensatory cranial curve improved from 17 degrees before surgery to 5 degrees after surgery, compensatory caudal curve improved from 22 degrees to 8 degrees. The angle of kyphosis was 22 degrees before surgery and 10 degrees after surgery. There was one infection, two pedicle fractures, and three implant failures. In two patients additional operations were performed because of new developing deformities.
Conclusions: Correction surgery of congenital scoliosis should be performed early, before the development of severe local deformities and secondary structural changes, especially in patients with expected deterioration. Posterior resection of the hemivertebra with transpedicular instrumentation allows for early intervention in very young children. Excellent correction in the frontal and sagittal planes, and a short segment of fusion allows for normal growth in the unaffected parts of the spine.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01.BRS.0000084627.57308.4A | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Masquelet technique combined with concentrated growth factors for the reconstruction of rabbit mandibular marginal bone defect.
Clin Oral Investig
January 2025
Fujian Key Laboratory of Oral Diseases & Stomatological Key lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, Fujian Province, 350002, China.
Objective: Both the Masquelet technique (MT) and concentrated growth factors (CGF) reduce early graft loss and improve bone regeneration. This study aims to explore the efficacy of combining MT with CGF for mandibular defect repair by characterizing the induced membrane and assessing in vivo osteogenesis.
Materials And Methods: Three experimental groups were compared: negative control (NC), MT, and Masquelet combined with CGF (MTC).
Psychosocial situation, burden, and unmet needs among informal caregivers prior to hematopoietic stem cell transplantation: a systematic review of quantitative and qualitative data.
Support Care Cancer
January 2025
Nursing Department, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, Yuelu District, Hexi District, Changsha, Hunan, China.
Background: Informal caregivers may face challenges, especially during the pre-transplant phase. We have learned about the challenges faced by informal caregivers during hematopoietic stem cell transplantation; there is a lack of consensus about the challenges faced by them before transplantation. We identified the psychosocial well-being of informal caregivers to patients before hematopoietic stem cell transplantation.
View Article and Find Full Text PDF[Guiding significance of intra-articular sagittal reduction in the treatment of tibial plateau fractures].
Zhongguo Gu Shang
January 2025
Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China.
Tibial plateau fracture is a fracture involving the proximal articular surface of the tibia, and its injury mechanism is complex, the fracture morphology is different, and it is often accompanied by different degrees of soft tissue injury, which is difficult to diagnose and treat. In recent years, the research hotspot has focused on solving the reduction and fixation of the posterior lateral column of the tibial plateau, because it has been clinically found that the residual sagittal plane after tibial plateau fracture is insufficient reduction or loss of reduction leads to knee joint dysfunction. The posterior inclination angle of the tibial plateau is an important parameter to describe the sagittal alignment of the tibia.
View Article and Find Full Text PDF[Anterior approach for the revision surgery following bone cement augmentation in osteoporotic vertebral compression fractures].
Zhongguo Gu Shang
January 2025
Department of Orthopaedics, Sir Run Run Shaw Hospital, Hangzhou 310016, Zhejiang, China.
Objective: To observe the clinical outcomes of anterior approach for the revision surgery following unsuccessful bone cement augmentation in osteoporotic vertebral compression fractures.
Methods: A total of 10 patients who experienced unsuccessful bone cement augmentation underwent anterior revision surgery between January 2020 and December 2021. There were 2 males and 8 females.
[A preliminary study of risk factors for the stress fracture in treated with clavicle hook plate].
Zhongguo Gu Shang
January 2025
Ningbo Beilun People's Hospital, Ningbo 315800, Zhejiang, China.
Objective: To investigate the effects of bone density, plate bending degree and proximal screw type on the stress fracture of clavicle hook.
Methods: Three sows weighing between 45 and 50 kg were selected, from which a total of 40 rivs were collected. The 15 ribs of sows were divided into 3 groups according to bone density and bone hardness with 5 rivs in each group.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!