This study reports the authors' experience with excision of hemivertebrae in the treatment of congenital scoliosis. Although it is limited to 10 cases, it is significant because of the 9 years follow-up. The first patients treated have already passed the age of puberty and this is the most interesting aspect of the study.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Congenital scoliosis presenting in teenage years outcomes without hemivertebra excision.
Spine Deform
January 2025
Department of Orthopaedics, Spinal Deformity and Pediatric Orthopaedics, Billie and George Ross Center for Advanced Pediatric Orthopaedics and Minimally Invasive Spinal Surgery, Cohen Children's Medical Center, Northwell Hofstra School of Medicine, 7 Vermont Drive, Lake Success, NY, 11042, USA.
Purpose: In congenital scoliosis, the surgical strategy approach of hemivertebra excision, with or without instrumentation and fusion, is a common approach to correction of scoliosis. However, hemivertebra excisions are technically challenging, with potential complications including spinal cord injury, nerve root injury and cerebrospinal fluid leak. The purpose of this study was to determine whether correction of congenital scoliosis can be achieved using a posterior instrumentation/fusion-only approach without the need for hemivertebra excision.
View Article and Find Full Text PDFScoliosis secondary to neglected Hemivertebra: A case report.
Int J Surg Case Rep
June 2024
Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine, HASSAN II University, Casablanca, Morocco.
Introduction And Importance: A hemivertebra is a congenital anomaly of the spine characterized by an incomplete vertebra resulting from a failure in the formation of the vertebral body. The significance of this article lies in the fact that early diagnosis of hemivertebra allows for personalized surgical treatment, which can enhance outcomes and prevent the development of spinal deformities and associated complications.
Case Presentation: We report on the case of a 17-year-old girl with scoliosis secondary to lumbar hemivertebra, where surgical management was very late due to parental negligence, which delayed diagnosis.
Circumferential Approach to Congenital Kyphoscoliosis with Hemivertebra: Adding on Rather than Resecting Could Be a Better Option in Older Adolescents.
World Neurosurg
December 2023
Neurosurgery Clinic, Medicana Ataşehir Hospital, Istanbul, Türkiye.
Objective: To present a new technique combining anterior release with allograft insertion and lateral fixation at the concave side of the curve, preserving the hemivertebra and posterior bilateral transpedicular fixation in patients with congenital kyphoscoliosis (CKS) who were not operated on until late adolescence, including long-term follow-up of patients, and a discussion of the literature on CKS with hemivertebra.
Methods: Two patients with CKS concomitant with hemivertebra underwent circumferential (anterior-posterior) instrumentation and fusion using a new technique.
Results: Patient 1 underwent a 2-stage operation, first anterior then posterior.
Hemivertebra Resection in Small Children. A Literature Review.
Global Spine J
April 2023
36947Servicio de Patología Espinal, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Study Design: Systematic review.
Objective: To evaluate the lowest possible age to resect an HV in very young patients with a congenital deformity.
Methods: We sought to retrieve all studies reporting age at HV excision in patients with congenital scoliosis.
Double spinal cord tethering and congenital kyphosis in a 4-year-old boy.
Spine Deform
March 2023
Department of Neurosurgery, IRCCS Istituto "G. Gaslini", via G. Gaslini 5, 16148, Genoa, Italy.
Purpose: Congenital kyphosis (CK) is an uncommon condition that develops due to a defect of formation or segmentation of one or more vertebrae during the first weeks of embryonic life and can be frequently associated with abnormalities of the spinal cord. Meningocele manqué (MM) is a rare congenital malformation consisting of intradural fibrous bands tethering the spinal cord, oftentimes in combination with a split cord malformation. The aim of this manuscript is to describe combined surgical management of a rare case of CK associated with double spinal cord tethering.
View Article and Find Full Text PDFWant 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!