Short anterior instrumented fusion and posterior convex non-instrumented fusion of hemivertebra for congenital scoliosis in very young children

Garrido, Enrique; Tomé-Bermejo, Félix; Tucker, Stewart; Noordeen, Hilali; Morley, Tim

doi:10.1007/s00586-008-0760-4

Cited by 17 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…k-m Clinical pictures of the patient taken at the final follow-up hemivertebra has been hemivertebra resection . On the basis of hemivertebra resection, different fixation techniques were developed [21][22][23]. In addition, fusionless posterior hemivertebra resection was reported [24].…”

Section: Discussionmentioning

confidence: 99%

Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?

et al. 2013

View full text Add to dashboard Cite

Purpose To assess the correction effect of hemivertebra resection for unbalanced multiple hemivertebrae by measuring corresponding parameters in both coronal and sagittal planes on series posteroanterior and lateral radiographs and report the related complications. Methods Twelve children with unbalanced multiple hemivertebrae were operated on by hemivertebra resection through a combined anterior and posterior approach or a posterior-only procedure. Mean age at time of surgery was 9.8 years (range 2-14 years). They were retrospectively studied with a mean follow-up of 48.7 months (range 30-60 months). Results The mean Cobb angle of the main curve was 65.3°(range 45°-92°) before surgery and 13.8°(range 4°-30°) at the last follow-up. The correction rate was 80.0 % (range 65.5-92.4 %). The compensatory cranial curve was corrected from 25.8°(range 5°-53°) to 11.7°(range 0°-34°) with a correction rate of 65.9 % (range 33.3-100 %), and the compensatory caudal curve was corrected from 32.4°(range 17°-57°) to 7.1°(range 0°-20°) with a correction rate of 81.4 % (range 53.1-100 %). The angle of segmental kyphosis was 41.3°(range 12°-76°) before surgery and 17.0°(range -12°to 45°) at the final followup. The coronal imbalance was -1.0 cm (range -3.5 to 3 cm) before surgery and 0.0 cm (range -1.0 to 1.5 cm) at the most recent follow-up. The sagittal imbalance was 0.9 cm (range -3.2 to 3 cm) before surgery and 0.6 cm (range -3.0 to 3.5 cm) at the most recent follow-up. Complications including pedicle fractures, and pseudarthrosis were found in two patients (20 %). Conclusions In the patients with unbalanced multiple hemivertebrae, hemivertebra resection allows for excellent correction in both the coronal and sagittal planes, and great care should be taken to reduce the rate of complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?

et al. 2013

View full text Add to dashboard Cite

show abstract

“…[1] Any hemivertebra can have a variable course, but most have growth potential, and those in scoliosis create wedge-shaped deformities that progress during growth [10] ; compensatory curve develops in attempt to preserve trunk balance. [2–14]…”

Section: Introductionmentioning

confidence: 99%

Fractional curve progression with maintenance of fusion mass in congenital scoliosis

Chang

Yang²,

Suk

et al. 2017

Medicine

View full text Add to dashboard Cite

Appropriate selection of fusion levels, complete resection of hemivertebra, and satisfactory reduction of scoliosis and kyphosis are important factors for deformity correction and prevention of progression of both main and compensatory curves (adding-on of structural curve or progression of compensatory curve) as well as reducing the influence of adjacent vertebral growth using as short a fusion as possible.

show abstract

“…The pediatric spinal deformity (PSD) population is markedly heterogeneous, widely varying in etiology, severity, and skeletal maturity; thus, its surgical options are also numerous and variable. [2][3][4][5] Unfortunately, PSD surgery can be complicated by the need for reoperation, with a revision rate of ∼10%. 6,7 Factors commonly necessitating reoperation following index surgery include insufficient deformity correction, implant failure, pseudoarthrosis, infection, additional levels of deformity, and junctional deformity.…”

mentioning

confidence: 99%

“…Spinal deformity surgery can be performed to correct coronal and sagittal deformities such as scoliosis and kyphosis. The pediatric spinal deformity (PSD) population is markedly heterogeneous, widely varying in etiology, severity, and skeletal maturity; thus, its surgical options are also numerous and variable 2–5…”

mentioning

confidence: 99%

Comparison of Relative Value Units and 30-Day Outcomes Between Primary and Revision Pediatric Spinal Deformity Surgery

Song

Katz

Dalal

et al. 2022

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

Study Design: Retrospective cohort study. Objective: The aim of this study was to compare the relative value units (RVUs) and 30-day outcomes between primary and revision pediatric spinal deformity (PSD) surgery. Summary of Background Data: PSD surgery is frequently complicated by the need for reoperation. However, there is limited literature on physician reimbursement rates and short-term outcomes following primary versus revision spinal deformity surgery in the pediatric population. Materials and Methods: This study utilizes data obtained from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Pediatric database. Patients between 10 and 18 years of age who underwent posterior spinal deformity surgery between 2012 and 2018 were included. Univariate and multivariate regression were used to assess the independent impact of revision surgery on RVUs and postoperative outcomes, including 30-day readmission, reoperation, morbidity, and complications. Results: The study cohort included a total of 15,055 patients, with 358 patients who underwent revision surgery. Patients in the revision group were more likely to be younger and male sex. Revision surgery more commonly required osteotomy (13.7% vs. 8.3%, P=0.002). Univariate analysis revealed higher total RVUs (71.09 vs. 60.51, P<0.001), RVUs per minute (0.27 vs. 0.23, P<0.001), readmission rate (6.7% vs. 4.0%, P=0.012), and reoperation rate (7.5% vs. 3.3%, P<0.001) for the revision surgery group. Morbidity rates were found to be statistically similar. In addition, deep surgical site infection, pulmonary embolism, and urinary tract infection were more common in the revision group. After controlling for baseline differences in multivariate regression, the differences in total RVUs, RVUs per minute, reoperation rate, and rate of pulmonary embolism between primary and revision surgery remained statistically significant. Conclusions: Revision PSD surgery was found to be assigned appropriately higher mean total RVUs and RVUs per minute corresponding to the higher operative complexity compared with primary surgery. Revision surgery was also associated with poorer 30-day outcomes, including higher frequencies of reoperation and pulmonary embolism. Level of Evidence: Level III.

show abstract

Short anterior instrumented fusion and posterior convex non-instrumented fusion of hemivertebra for congenital scoliosis in very young children

Cited by 17 publications

References 39 publications

Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?

Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?

Fractional curve progression with maintenance of fusion mass in congenital scoliosis

Comparison of Relative Value Units and 30-Day Outcomes Between Primary and Revision Pediatric Spinal Deformity Surgery

Contact Info

Product

Resources

About