XIAO Songhua,ZHANG Xuesong,CHEN Chao.Single-stage anterior-posterior or posterior-alone hemivertebra resection for congenital scoliosis[J].Chinese Journal of Spine and Spinal Cord,2010,20(9):736-740.
Single-stage anterior-posterior or posterior-alone hemivertebra resection for congenital scoliosis
Received:June 07, 2010  Revised:July 28, 2010
English Keywords:Congenital scoliosis  Hemivertebrae  Surgical approach
Fund:
Author NameAffiliation
XIAO Songhua Department of OrthopedicsPLA General HospitalBeijing100853China 
ZHANG Xuesong  
CHEN Chao  
王 岩  
张永刚  
张兴蓬  
王 征  
陆 宁  
毛克亚  
Hits: 4054
Download times: 2223
English Abstract:
  【Abstract】 Objective:To evaluate the efficacy and safety of single-stage anterior-posterior or posterior-alone hemivertebra resection for congenital scoliosis retrospectively.Method:From April 2003 to August 2007,32 congenital scoliosis patients undergoing single-stage anterior-posterior or posterior-alone hemivertebra resection were included in this study.The mean age at time of surgery was 12.8 years old(range,9-22 years).13 patients had hemivertebre at T9-L2 with the bottom of hemivertebra orientated ventrally and underwent single-stage anterior-posterior hemivertebra resection(anterior-posterior group),the other 19 patients had single hemivertebra at T10-L3 with the bottom of hemivertebra orientated dorsally experienced single posterior surgery.The operation time,blood loss,correction rate of main curve and complication were reviewed and compared between 2 groups.Result:The mean operation time and blood loss for anterior-posterior group and posterior group was 5.4h/580ml and 4.3h/470ml respectively,which had significant difference(P<0.05).The average correction rate of main curve for anterior-posterior group and posterior group was 64.1% and 63.7%(P>0.05) respectively.Follow-up period averaged 18 months.No significant loss of correction was found.Complication in 2 groups was rare.Conclusion:Hemivertebra resection in thoracolumbar region is effective for congenital scoliosis.Preoperative evaluation of hemivertebra and careful maneuver can ensure the procedure safe and successful.
View Full Text  View/Add Comment  Download reader
Close