ISSN: 1859 - 2872
Out comes of posterior hemivertebra resection with transpedicular instrumentation for congenital deformity
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Abstract
Objective: To evaluate the outcomes of patients having posterior resection of hemivertebra transpedicular instrumentation to correct and stabilize the deformity. Subject and method: In this case series study, 12 patients were devided into 2 groups: 4 patients (5 to 7 year old) and 12 patients (older 7 year old), had posterior hemivertebrectomy and transpedicular fixation from 2014 to 2021 at Department of Trauma and Orthopedics Department, 108 Military Central Hospital. Result: In group from 5 to7 years old: The mean preoperative Cobb’s angle of segmental main curve was 45.7º. The mean postoperative Cobb’s angle of segmental main curve was 10.4º (correction 87.3%). The mean preoperative Cobb’s angle of segmental main kyphosis was 45.5º. The mean postoperative Cobb’s angle of segmental main kyphosis was 16.4º (correction 74.2%). In group older 7 years old: The mean preoperative Cobb’s angle of segmental main curve was 38.7º. The mean postoperative Cobb’s angle of segmental main curve was 12.5º (correction 67.8%). The mean preoperative Cobb’s angle of segmental main kyphosis was 22.5º. The mean postoperative Cobb’s angle of segmental main kyphosis was 9.2º (correction 58.9%). Conclusion: Posterior hemivertebra resection with transpedicular instrumentation to be an effective approach for treatment of congenital deformity caused by hemiverbra. Allowing for excellent correction in both frontal and sagittal planes. Earlier surgery can achieve short fusion and save more mobile segments.
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References
1. Douglas Hedden (2007) Management themes in congenital scoliosis. J Bone Joint Surg: 72-78.
3. Jalanko T, Rintala R, Puisto V, Helenius I (2011) Hemivertebra resection for congenital scoliosis in young children: Comparison of clinical, radiographic, and health-related quality of life outcomes between the anteroposterior and posterolateral approaches. Spine: 41-49.
4. James TG, John FS (2006) Congenital and developmental deformities of the spine in children with myelomeningocele. J Am Acad Orthop Surg: 294-302.
5. John PD, Christopher H (2012) Congenital anomalies of the spinal column and spinal cord. J Am Acad Orthop Surg: 405-411.
6. Lei Wang, Yuemin Song (2011) Comparison of one-stage anteroposterior and posterior-alone hemivertebrae resection combined with posterior correction for hemivertebrae deformity. Indian J Orthop: 492-499.
7. Mladenov K, Kunkel P, Stuecker R (2012) Hemivertebra resection in children, results after single posterior approach and after combined anterior and posterior approach: A comparative study. Eur Spine: 506-513.
8. Peng X, Chen L, Zou X (2011) Hemivertebra resection and scoliosis correction by a unilateral posterior approach using single rod and pedicle screw instrumentation in children under 5 years of age. J Pediatr Orthop: 397-403.
9. Ruf M, Harms J (2003) Posterior hemivertebra resection with transpedicular instrumentation: Early correction in children aged 1 to 6 years. Spine: 2132-2138.
10. Wang S, Zhang J (2013) Posterior hemivertebra resection with bisegmental fusion for congenital scoliosis: More than 3 year outcomes and analysis of unanticipated surgeries. Eur Spine J: 387-393.
11. Wang SR, Zhang JG, Qiu GX (2011) The efficacy and complications of posterior hemivertebra resection with monosegmental fusion for congenital scoliosis. PubMed - indexed for MEDLINE.
12. Wang Y, Lu N (2010) Posterior deformity vertebra resection with pedicle instrumentation in treatment of congenital scoliosis or kyphoscoliosis in child and adolescent patients. PubMed - indexed for Medline.
13. Yaszay B, O'Brien M (2011) Efficacy of hemivertebra resection for congenital scoliosis: A multicenter retrospective comparison of three surgical techniques. Spine: 2052-2060.
14. Sun W, Zhang JG, Qiu GX, Wang SR, Zhao YJ, Zhao LJ (2012) Comparison of two techniques in hemivertebra resection: Anterior-posterior approach versus posterior approach. Zhonghua Yi Xue Za Zhi 92(11): 756-759.
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