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Selective hemivertebrae resection in a congenital scoliosis affected person with a number of hemivertebrae deformities.
Eur Backbone J. 2017 Jun;26(6):1577-1583
Authors: Zhang Y, Yang J, Zhou L, Pan A, Hai Y
Summary
PURPOSE: To report the surgical expertise of selective hemivertebrae resection for a case of congenital scoliosis with a number of hemivertebrae deformities.
METHODS: A 14-year-old male introduced with progressive rib hump, tilted torso and backbone deformity was admitted in our division. No abnormalities have been detected in neurological examination and the great imaging examine demonstrated congenital scoliosis of a number of hemivertebrae in T5, T10, L1 and L3. Remedy of the affected person commenced with a 10-day pores and skin traction remedy previous to the surgical procedure. Selective resection of hemivertebrae in T5 and L1 was carried out with segmental fusion from T3 to L2.
RESULTS: After surgical process, the affected person achieved a great coronal and sagittal steadiness together with a great correction of the curve. 18-month postoperative follow-up confirmed no proof of serious lack of correction. No device-related complication reminiscent of implant loosening or failure or neurologic complication occurred throughout the follow-up. Moreover, affected person’s shoulder steadiness was additional improved and coronal steadiness was maintained in a standard vary.
CONCLUSION: Many elements should be thought of within the scientific decision-making of congenital scoliosis with a number of hemivertebrae deformities sufferers. A lot emphasis on this regard is laid on the kind and placement of the hemivertebrae in addition to the affected person’s age. Selective hemivertebrae resection could also be extra appropriate for such sufferers.
PMID: 28281004 [PubMed – indexed for MEDLINE]