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

Background Data: Congenital scoliosis may be caused by failure of formation, failure of segmentation, or by a combination of these 2 factors, resulting in a mixed deformity. Complete failure of formation results in a hemivertebra. There is a debate on the method of treatment and whether operate with...

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Autores principales:	Yasser El Banna, Samer Samy
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Congenital scoliosis surgical treatment posterior hemivertebra resection Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b09ac9740b26427bb5a7905372273b62
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spelling	oai:doaj.org-article:b09ac9740b26427bb5a7905372273b622021-12-02T05:59:13ZSingle-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital ScoliosisDOI:10.21608/ESJ.2016.40122314-89502314-8969https://doaj.org/article/b09ac9740b26427bb5a7905372273b622016-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_4012.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Congenital scoliosis may be caused by failure of formation, failure of segmentation, or by a combination of these 2 factors, resulting in a mixed deformity. Complete failure of formation results in a hemivertebra. There is a debate on the method of treatment and whether operate with or without fusion. Nevertheless there is no debate about the early treatment. Congenital scoliosis due to hemivertebra is difficult to control and may progress after non-operative and even after operative management. Hemivertebra resections in older children often require a long fusion segment because of secondary structural curves that may be avoided with early management. Purpose: Assessment of surgical intervention in congenital scoliosis by posterior approach with transpedicular instrumentation. Study Design: Retrospective clinical case study. Patients and Methods: Thirty five consecutive cases of congenital scoliosis in young children were operated on by hemivertebra resection by a posterior-only approach with transpedicular instrumentation. Meanage at time of surgery was eight years. The mean follow-up was 26 months. Results: Mean Cobb angle of the main curve was 55.8° before surgery, and 13° at latest follow-up. On average three segments were fused. There was one infection, two pedicle fractures, and three implant failures. In two patients additional operations were performed because of new developing deformities. Conclusion: 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 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. (2016ESJ115)Yasser El Banna Samer SamyEgyptian Spine AssociationarticleCongenital scoliosissurgical treatmentposterior hemivertebra resectionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 19, Iss 1, Pp 35-47 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Congenital scoliosis surgical treatment posterior hemivertebra resection Neurology. Diseases of the nervous system RC346-429
spellingShingle	Congenital scoliosis surgical treatment posterior hemivertebra resection Neurology. Diseases of the nervous system RC346-429 Yasser El Banna Samer Samy Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
description	Background Data: Congenital scoliosis may be caused by failure of formation, failure of segmentation, or by a combination of these 2 factors, resulting in a mixed deformity. Complete failure of formation results in a hemivertebra. There is a debate on the method of treatment and whether operate with or without fusion. Nevertheless there is no debate about the early treatment. Congenital scoliosis due to hemivertebra is difficult to control and may progress after non-operative and even after operative management. Hemivertebra resections in older children often require a long fusion segment because of secondary structural curves that may be avoided with early management. Purpose: Assessment of surgical intervention in congenital scoliosis by posterior approach with transpedicular instrumentation. Study Design: Retrospective clinical case study. Patients and Methods: Thirty five consecutive cases of congenital scoliosis in young children were operated on by hemivertebra resection by a posterior-only approach with transpedicular instrumentation. Meanage at time of surgery was eight years. The mean follow-up was 26 months. Results: Mean Cobb angle of the main curve was 55.8° before surgery, and 13° at latest follow-up. On average three segments were fused. There was one infection, two pedicle fractures, and three implant failures. In two patients additional operations were performed because of new developing deformities. Conclusion: 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 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. (2016ESJ115)
format	article
author	Yasser El Banna Samer Samy
author_facet	Yasser El Banna Samer Samy
author_sort	Yasser El Banna
title	Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
title_short	Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
title_full	Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
title_fullStr	Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
title_full_unstemmed	Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis
title_sort	single-stage posterior hemivertebra resection with transpedicular instrumented fusion for correction of congenital scoliosis
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/b09ac9740b26427bb5a7905372273b62
work_keys_str_mv	AT yasserelbanna singlestageposteriorhemivertebraresectionwithtranspedicularinstrumentedfusionforcorrectionofcongenitalscoliosis AT samersamy singlestageposteriorhemivertebraresectionwithtranspedicularinstrumentedfusionforcorrectionofcongenitalscoliosis
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Single-Stage Posterior Hemivertebra Resection with Transpedicular Instrumented Fusion for Correction of Congenital Scoliosis

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