Thoracic hemivertebra resection by posterior approach for congenital scoliosis

Obeid, Ibrahim; Bourghli, Anouar; Vital, Jean-Marc

doi:10.1007/s00586-013-2684-x

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…Regarding only the posterior approach, Shono et al 14 reports 63.3% improvement and Nakamura et al 17 54.3% after onestage surgery for lumbar HV. After investigation of the published data, it seems that the posterior approach is as safe as the combined for the thoracic and lumbar spine 58,68 Finally, for the lumbar HV, Zhu et al 33 reports 87.3% improvement after posterior approach with fusion, which is encouraging results but this technique is very challenging and could lead to complications.…”

Section: Discussionmentioning

confidence: 99%

Correlation between Age and Surgical Approach for Thoracic and Lumbar Hemivertebra

Nikova

Chatzipaulou

Malkots

et al. 2020

Indian Journal of Neurosurgery

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Objective Hemivertebra (HV) is a congenital defect of the formation of the spinal vertebra, which can result in scoliosis or kyphosis along with the related symptomatology of spine deformity. More often than not, it is linked to other abnormalities and requires attention. Its management is surgical and it is of great importance for the physician to choose the right approach at the right time, due to its deteriorative prognosis. Methods Due to the interest of the subject, the authors investigated the world literature between 1990 and 2018 and found 45 articles, reporting thoracic, thoracolumbar, and lumbar HV in children and its postsurgical outcome, aiming to show whether the approaches are equal in terms of the final outcome. Results The chosen surgical method depends much on the level of the pathology. Despite this fact, after analyzing the included data, we found that the surgical techniques are unequal with regard to the purpose of achieving improvement. Age, caudal and cranial curves, segmental kyphosis, and scoliosis are factors playing a major role in this. Conclusion If not treated, HV leads to deterioration and dysfunction. The most optimal result, however, is achieved only when the surgical approach is applied according to age and rest of the accompanying factors, which should be considered in future management planning.

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Section: Discussionmentioning

confidence: 99%

Correlation between Age and Surgical Approach for Thoracic and Lumbar Hemivertebra

Nikova

Chatzipaulou

Malkots

et al. 2020

Indian Journal of Neurosurgery

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“…Surgical results obtained in the cases with an older age are consecutively modest. Hemivertebra resection by a posterior only approach represents the golden standard nowadays, ensuring a good correction, mobility preservation and development of the spine [9,10] . The VEPTR device proved its' limited and strict indications consecutive to the long enough obtained experience [11] .…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Early Onset Scoliosis Probable causes of Undesirable Results

Gavriliu

2019

International Journal of Orthopaedics

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52 EOS patients, operated by different treatment methods (2003-2014) has been analyzed. The series included congenital, idiopathic infantile and one syndromic scoliosis. Surgical procedures consisted in hemivertebral resection concomitant with instrumentation, the use of VEPTR or Shilla devices or combinations of these. The follow-up period ranged 4-15 years. The patients were investigated by clinical and imagistic exams. 15 patients with poor clinical and radiological results after surgery were identified (worsening of the curve, extended fusion with a short, stiff spine, impaired trunk imbalance and/or pseudarthrosis). RESULTS: The possible identified therapeutic issues included: the use of surgical techniques which resulted in extended posterior fusion, the choice of an possibly poor surgical technique, improper or faulty applied implants. CONCLUSIONS: Complications and possible postoperative evolutions related to the chosen therapeutic decision should be very thorough taken into account before any procedure. A poor strategy treatment of these deformities decreases quality of life. The prognosis is variable, depending on the cause inducing the deformity. That's why the treatment should be individualized for each EOS patient. An improper treatment may produce real disasters or cuts short any therapeutic chance, maybe the only one available, in order to ensure the best life quality obtainable.

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“…) or an isolated posterior procedure (Obeid et al. ). A multicenter retrospective study has demonstrated that hemivertebra excision could provide satisfactory correction results but at the cost of a higher complication rate (Yaszay et al.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, early and correct hemivertebra resection is urgently necessary. Generally, hemivertebra resection is performed as either an anterior-posterior procedure (Xu et al 2010) or an isolated posterior procedure (Obeid et al 2013). A multicenter retrospective study has demonstrated that hemivertebra excision could provide satisfactory correction results but at the cost of a higher complication rate (Yaszay et al 2011) which necessitates a revision surgery (Campos et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Causes of the failure and the revision methods for congenital scoliosis due to hemivertebra

Shi

Cai

et al. 2015

Congenital Anomalies

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The purpose of this study was to retrospectively investigate the causes of failure in the first operation and the revision procedure for patients with congenital scoliosis due to hemivertebra. Nineteen patients who underwent the revision operations because of failure in the first operation were included in this study. All the malformations were identified as fully segmented hemivertebra, including 16 cases in thoracolumbar vertebra (T10: three patients; T12: seven patients; L1: six patients), and three cases in thoracic vertebra (T8). The causes of failure in the first operation and the outcome of revision procedure for patients were retrospectively analyzed. All patients were successfully performed the personalized revision surgeries. The failure reasons of the first operation included limitations of the first operation procedure, no or incomplete resection of the malformed hemivertebra, improper operation during surgery, improper internal fixation material, and improper internal fixation scope. The average postoperative scoliosis Cobb's angle and kyphosis Cobb's angle were corrected from 54.1°preoperatively to 23.1°postoperatively, and 59.3°preoperatively to 25.8°post-operatively, respectively. The average postoperative distance between the C7 plumb line and the center sacral vertical line was decreased from 2.5 cm preoperatively to 1.5 cm postoperatively. The average follow-up period was 2.2 years. No serious complication was observed. The cause of the failure of the first operations for the congenital scoliosis due to hemivertebra is verified. Our study may provide a basis for the treatment of congenital scoliosis due to hemivertebra.

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Thoracic hemivertebra resection by posterior approach for congenital scoliosis

Cited by 7 publications

References 3 publications

Correlation between Age and Surgical Approach for Thoracic and Lumbar Hemivertebra

Correlation between Age and Surgical Approach for Thoracic and Lumbar Hemivertebra

Surgical Treatment of Early Onset Scoliosis Probable causes of Undesirable Results

Causes of the failure and the revision methods for congenital scoliosis due to hemivertebra

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