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
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.