Posterior Hemivertebra Resection and Short Segment Fusion With Pedicle Screw Fixation for Congenital Scoliosis in Children Younger Than 10 Years

Chang, Dong‐Gune; Kim, Jin-Hyok; Ha, Kee-Yong; Lee, Jeong-Seop; Jang, Ji-Seok; Suk, Se-Il

doi:10.1097/brs.0000000000000809

Cited by 77 publications

(79 citation statements)

References 39 publications

(13 reference statements)

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“…обсуждение В настоящее время хирургическое лечение врожденного сколиоза, обусловленного нарушени-ем формирования позвонка, включает в себя три основных компонента: удаление костных структур аномального позвонка, коррекция и стабилизация деформации позвоночника металлоконструкцией и проведение спондилодеза [1][2][3][4][5][6][7][8][9].…”

Section: таблица 1/unclassified

“…Различные подходы к хирургическому лечению врожденных деформаций позвоночного столба при изолированном полупозвонке в зависимости от возраста пациентов и их результаты описаны в многочисленных работах последнего десятиле-тия [5][6][7][8][9][12][13][14][15]. j. dubousset с соавторами счи-тают, что оперативное лечение детей при изоли-рованном нарушении формирования позвонка целесообразно выполнять в младенческом возрас-те, обосновывая такое положение менее тяжелым послеоперационным периодом у этой категории пациентов по сравнению с течением восстанови-тельного периода у больных старшей возрастной группы [9].…”

Section: Introductionunclassified

“…funding: this study was carried out within the framework of the union State program «development of new spinal systems using prototyping technologies in the surgical treatment of children with severe congenital deformities and spine injuries». ской деформации после операции уменьшился с 34,4 до 8,6°, а при долгосрочных наблюдениях со-ставил 12,9° [7].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Children With Congenital Lumbar Scoliosis: Complete or Partial Resection of Malformed Vertebrae?

Vissarionov¹,

Картавенко²,

Kokushin³

et al. 2017

Traumatology and Orthopedics of Russia

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The purpose of the study – to compare the effectiveness of surgical correction of spine lumbar congenital deformity by complete or partial resection of the abnormal vertebra in children.Material and methods. 68 children with isolated congenital malformation of the lumbar area of the spine were evaluated both clinically and instrumentally. Age of the patients was 6 months — 16 years 2 months (mean — 4 years 5 months). There were 41 female and 27 male patients. Patients were divided in two groups depending on the volume of the surgery. First group (n = 52) consisted of patients treated with complete hemivertebrae resection. Second group (n = 16) consisted of patients treated with partial resection of the malformed vertebrae.Results. After the surgery in the 1st group scoliotic curve was 0 to 21° and kyphotic curve was from -33 to 9°. 9 years post-op scoliotic and kyphotic curves were 0 to 22° and -31 to 10° respectively. In the 2nd group scoliotic curve was 3 to 27° and kyphotic curve was from -30 to 12°. 9 years post-op scoliotic and kyphotic curves were 7 to 41° and -26 to 8° respectively. Significant differences in the amount of scoliotic curve correction were revealed between the groups: in the 1st group mean Cobb angle for the scoliotic curve after surgery was 3,3° (correction — 94%), in the 2nd group — 13,6° (correction — 80%) (p0,05). Mean Cobb angle for the scoliotic curve in the long-term period was 5° (correction — 92%) for the 1st group wich was significantly lower (p0,05) comparing to the 2nd group (mean Cobb angle 18,3° correction — 62%).Conclusion. Our data showed higher efficacy of the complete resection of the hemivertebrae comparing to its partial resection in pediatric patients with isolated malformation in the lumbar spine. Complete removal of the vertebrae body, its growth plates and disks allowed to achieve radical correction of the deformity and to perform short fusion of the adjacent segments which was crucial for further normal growth and development of the child’s spine with saving the results in the long-term period. Thus complete resection of the malformed vertebrae with radical correction and short segment fusion is the most appropriate option in surgical treatment of pediatric patient of any age with isolated vertebrae malformation in the lumbar spine.

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Section: таблица 1/unclassified

Section: Introductionunclassified

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Children With Congenital Lumbar Scoliosis: Complete or Partial Resection of Malformed Vertebrae?

Vissarionov¹,

Картавенко²,

Kokushin³

et al. 2017

Traumatology and Orthopedics of Russia

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“…Coronal balance (CB), sagittal balance (SB), segmental kyphosis (SK), thoracic kyphosis (TK), and lumbar lordosis (LL) were measured as balance parameters. 4,5,[7][8][9]16,29 The magnitudes of both main and compensatory curves were measured with the Cobb method, using the end vertebrae determined on the preoperative standing radiographs. Coronal balance and SB were measured on standing radiographs; CB was measured as the deviation of the C-7 plumb line from the center sacral vertical line and SB as the distance from the C-7 plumb line to a perpendicular line drawn from the posterosuperior corner of the sacrum.…”

Section: Radiographic Measurementsmentioning

confidence: 99%

“…In contrast, PVCR resects not only the pedicle and vertebral body with the hemivertebra but also the discs above and below the hemivertebra and results in body-to-body contact. 7,9,[36][37][38] Posterior vertebral column resection can correct more deformities, particularly kyphotic deformity, through sufficient shortening of the posterior column and achieve increased bony union through bone-to-bone contact of the vertebral body even if the coronal curves are not severe. Therefore, PVCR is a very powerful operative method for correcting severe spinal deformities.…”

mentioning

confidence: 99%

Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up

Chang

Yang

Lee

et al. 2016

SPI

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OBJECTIVE There have been no reports on the long-term radiographic outcomes of posterior vertebral column resection (PVCR) in patients with congenital scoliosis. The purpose of this study was to evaluate the surgical outcomes and complications after PVCR and its long-term effects on correcting this deformity in children with congenital scoliosis. METHODS The authors retrospectively analyzed the medical records of 45 patients with congenital scoliosis who were younger than 18 years at the time of surgery and who underwent PVCR and fusion with pedicle screw fixation (PSF). The mean age of the patients at the time of surgery was 11.3 years (range 2.4–18.0 years), and the mean length of follow-up was 12.8 years (range 10.1–18.2 years). RESULTS The mean Cobb angle of the main curve was 46.5° before PVCR, 13.7° immediately after PVCR, and 17.6° at the last follow-up. For the compensatory cranial curve, PVCR corrected the preoperative Cobb angle of 21.2° to 9.1° postoperatively and maintained it at 10.9° at the last follow-up. For the compensatory caudal curve, the preoperative Cobb angle of 23.8° improved to 7.7° postoperatively and was 9.8° at the last follow-up. The authors noted 22 complications, and the overall incidence of complications was 48.9%. CONCLUSIONS Posterior vertebral column resection is an effective procedure for managing congenital scoliosis in patients younger than 18 years. Use of PVCR and fusion with PSF for congenital scoliosis achieved rigid fixation and satisfactory deformity correction that was maintained over the long term. However, the authors note that PVCR is a technically demanding procedure and entails risks for major complications and excessive blood loss.

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Hemivertebrectomy in Early Onset Scoliosis

Garg

Bollini²

2022

The Growing Spine

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Posterior Hemivertebra Resection and Short Segment Fusion With Pedicle Screw Fixation for Congenital Scoliosis in Children Younger Than 10 Years

Abstract: 3.

Cited by 77 publications

References 39 publications

Surgical Treatment of Children With Congenital Lumbar Scoliosis: Complete or Partial Resection of Malformed Vertebrae?

Surgical Treatment of Children With Congenital Lumbar Scoliosis: Complete or Partial Resection of Malformed Vertebrae?

Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up

Hemivertebrectomy in Early Onset Scoliosis

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