Hemivertebral Excision for Congenital Scoliosis

Hemivertebra resection in children, results after single posterior approach and after combined anterior and posterior approach: a comparative study

“…The mean curve correction was 27°and was only 4°s uperior as compared to the results obtained in our study (average correction in the SPA group 23°). Our results are comparable with other authors reporting 54-64% main curve correction after SPA [19,20] and 64% to 71% after CAPA [10,12,13,21].…”

Results of complete hemivertebra excision followed by circumferential fusion and anterior or posterior instrumentation in patients with type-IA formation defect

“…This technique is safe in this respect even in thoracic and thoracolumbar regions [8,23]. Holte et al [7] reported the development of radiculopathy in seven patients, pseudoarthrosis in three, wound infection in three, and the need to extend fusion area in six patients in their study including 37 patients.…”

“…King and Lowery [18], in their series with 7 patients, reported a 29.7°of final curve following twostep excision and 18°curve with simultaneous single step intervention. Callahan et al reported the results of ten patients with 67% correction in curves at 40°, and Shono et al reported 64% correction [11,23]. Lazar and Hall improved preoperative curves from 47°to 14°in their series of 11 patients, while Hall and colleagues improved it from 54°to 33° [9,12].…”

Halbwirbelresektion bei kongenitaler Skoliose

“…In 1979, Leatherman & Dickson [12] reported on good results in a larger series of hemivertebra resections by a two-stage anterior-posterior procedure. Further reports on resections by combined anterior and posterior approaches in one-or two-stage procedures followed [1,3,4,6,8,9,11,21]. Closing of the wedge after resection was achieved by casts and braces which were applied for approximately 6 months.…”

“…Few recent reports exist of hemivertebra resections by a single posterior approach [14,20,27]. [1,3,4,6,8,9,11,21]. Die Korrektur nach Resektion des Halbwirbels wurde durch Gips-oder Kunststoffkorsette erreicht, die für etwa 6 Monate angelegt wurden.…”