Hemivertebra Resection for the Treatment of Congenital Lumbarspinal Scoliosis With Lateral-Posterior Approach

@article{Li2008HemivertebraRF,
  title={Hemivertebra Resection for the Treatment of Congenital Lumbarspinal Scoliosis With Lateral-Posterior Approach},
  author={Xiangdong Li and Zhuojing Luo and Xinkui Li and Huiren Tao and Junjie Du and Zhe Wang},
  journal={Spine},
  year={2008},
  volume={33},
  pages={2001-2006}
}
Study Design. A retrospective review of patient records was conducted. Objective. To evaluate the results of a lumbar hemivertebra resection and short-segment fusion through a lateral-posterior approach. Summary of Background Data. Few reports have been reported describing a procedure consisting of one-stage lateral-posterior lumbar hemivertebra resection and correction of the deformity by segmental anterior instrumentation to date. Methods. From 1998 to 2006, a consecutive series of twenty… 
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21 Citations
Background Citations
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Results Citations
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21 Citations

Citation Type

Citation Type

Hemivertebra Resection With Instrumented Fusion by Posterior Approach in Children.
Fusionless posterior hemivertebra resection in a 2-year-old child with 16 years follow-up
TLDR
The case of a 2-year-old patient with congenital scoliosis due to a lumbar hemivertebra is presented, and a fusionless surgical solution for the treatment of a hemiverstebra has never been described before.
Posterior approach lumbar and thoracolumbar hemivertebra resection in congenital scoliosis in children under 10 years of age: results with 3 years mean follow up
TLDR
The findings show that the hemivertebra resection with posterior approach instrumentation is an effective procedure, which has led to significant advances in congenital deformity control, which include excellent frontal and sagittal correction, excellent stability, short segment arthrodesis, low neurological impairment risk, and no necessity for further anterior surgery.
Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?
TLDR
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.
Outcomes of Posterior Lumbar Hemivertebra Resection and Short Fusion in Patients With Severe Sacral Tilt
TLDR
Undercorrection of the lumbar curve and segmental scoliosis to compensate for sacral tilt and short fusion after hemivertebra resection may be helpful to restore coronal balance and preserve mobility in segments in patients with pronounced severe sacral tilts.
Posterior unilateral pedicle subtraction osteotomy of hemivertebra for correction of the adolescent congenital spinal deformity.
Correlation between Age and Surgical Approach for Thoracic and Lumbar Hemivertebra
TLDR
It is found that the surgical techniques are unequal with regard to the purpose of achieving improvement and the most optimal result 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.
Transpedicular hemivertebra resection and instrumented fusion for congenital scoliosis
  • H. Halm
  • Medicine
    European Spine Journal
  • 2011
TLDR
In congenital scoliosis there is an increased incidence of intraspinal pathology like tethered cord or diastematomyelia and therefore prior to surgery MRI of the whole spine is mandatory to rule this out.
Congenital kypho-scoliosis: a case of thoracic insufficiency syndrome and the limitations of treatment
TLDR
This Grand Round presents the case of a 7-year-old girl with a severe scoliosis and thoracic insufficiency syndrome (TIS), and highlights the features of congenital kyphoscoliosis and TIS.
Isolated Pedicle Screw Instrumented Correction for the Treatment of Thoracic Congenital Scoliosis
TLDR
In the neglected thoracic congenital deformities of the aged, with posterior pedicle instrumented fusion, an acceptable correction can be achieved with relatively low morbidity.
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References

SHOWING 1-10 OF 52 REFERENCES
Results of Lumbar Hemivertebral Excision for Congenital Scoliosis
The purposes of this study were to determine the longterm correction achieved by excision of lumbar hemivertebrae and the risk attendant. Seven patients had a followup of 41.14 months for lumbar…
Posterior Hemivertebra Resection With Transpedicular Instrumentation: Early Correction in Children Aged 1 to 6 Years
TLDR
Posterior resection of the hemivertebra with transpedicular instrumentation allows for early intervention in very young children with congenital scoliosis, and a short segment of fusion allows for normal growth in the unaffected parts of the spine.
One-Stage Posterior Hemivertebra Resection and Correction Using Segmental Posterior Instrumentation
TLDR
This study indicated that correction of kyphoscoliosis caused by a single hemivertebra can be effectively conducted by one-stage posterior hemiverstebra resection and correction using segmental posterior instrumentation.
Hemivertebra Resection by a Posterior Approach: Innovative Operative Technique and First Results
TLDR
Posterior resection of hemivertebrae with transpedicular instrumentation is a safe and promising procedure that offers significant advantages for controlling congenital deformity: excellent correction in both the frontal and sagittal planes, short segment of fusion, high stability, no need for an anterior approach, and low neurologic risk.
Excision of hemivertebrae in the management of congenital scoliosis involving the thoracic and thoracolumbar spine.
TLDR
It is shown that resection of thoracic and thoracolumbar hemivertebrae can be performed safely, without undue risk of neurological compromise, in experienced hands.
Excision of hemivertebrae and wedge resection in the treatment of congenital scoliosis.
TLDR
The results of anterior and posterior excision or wedge resection of a hemivertebra and arthrodesis of the spine were reviewed retrospectively for thirty-seven patients, finding that pelvic obliquity did not change appreciably as it was related primarily to limb-length inequality in this series.
Single-Stage Excision of Hemivertebrae Via the Posterior Approach Alone for Congenital Spine Deformity: Follow-up Period Longer Than Ten Years
TLDR
The described procedure was less invasive because it avoided an anterior approach, yet it yielded satisfactory long-term results for thoracolumbar hemivertebrae.
Long‐Term Results of Combined Anterior and Posterior Convex Epiphysiodesis for Congenital Scoliosis Due to Hemivertebrae
TLDR
Combined anterior and posterior convex epiphysiodesis is a reliable method for the correction of deformity resulting from hemivertebrae in the management of congenital scoliosis resulting from fully segmented nonincarcerated hemiverstebra.
Simultaneous anterior and posterior hemivertebra excision.
TLDR
This series of 11 patients with congenital scoliosis secondary to hemivertebra describes the resection technique, degree of deformity correction, and complications encountered with this approach to a very difficult clinical problem.
Long-term results of convex epiphysiodesis for congenital scoliosis
TLDR
It is felt that convex epiphysiodesis has an important role in the surgical management of congenital scoliosis and, for hemivertebrae in particular, it can produce significant correction of deformity.
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