Excision of hemivertebrae in the management of congenital scoliosis involving the thoracic and thoracolumbar spine

Citation
V. Deviren et al., Excision of hemivertebrae in the management of congenital scoliosis involving the thoracic and thoracolumbar spine, J BONE-BR V, 83B(4), 2001, pp. 496-500
Citations number
29
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Journal title
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
ISSN journal
0301620X → ACNP
Volume
83B
Issue
4
Year of publication
2001
Pages
496 - 500
Database
ISI
SICI code
0301-620X(200105)83B:4<496:EOHITM>2.0.ZU;2-Q
Abstract
We present a study of ten consecutive patients who underwent excision of th oracic or thoracolumbar hemivertebrae for either angular deformity in the c oronal plane, or both coronal and sagittal deformity. Vertebral excision wa s carried out anteriorly alone in two patients. Seven patients had undergon e previous posterior spinal fusion, Their mean age at surgery was 13.4 year s (6 to 19), The mean follow-up was 78.5 months (20 to 180), The results we re evaluated by radiological review of the preoperative, postoperative and most recent follow-up films. The mean preoperative coronal curve was 78.2 degrees (30 to 115) and was co rrected to 33.9 degrees (7 to 58) postoperatively, a mean correction of 59% , Preoperative coronal decompensation of 35 mm was improved to 11 mm postop eratively. Seven patients had significant coronal decompensation preoperati vely, which was corrected to a physiological range postoperatively. There w ere no major complications and no neurological damage. We have shown that resection of thoracic and thoracolumbar hemivertebrae ca n be performed safely, without undue risk of neurological compromise, in ex perienced hands.