Results of lumbar hemivertebral excision for congenital scoliosis

The purposes of this study were to determine the long-term correction achieved by excision of lumbar hemivertebrae and the risk attendant. Seven patients had a follow-up of 41.14 months for lumbar hemivertebral excisions. Six had two-stage anterior vertebral body excision and, 7-8 days later, poster...

Full description

Saved in:
Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1991-07, Vol.16 (7), p.778-782
Main Authors: KING, J. D, LOWERY, G. L
Format: Article
Language:English
Subjects:
Biological and medical sciences
Braces
Casts, Surgical
Child
Diseases of the osteoarticular system
Diseases of the spine
Female
Follow-Up Studies
Humans
Internal Fixators
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Medical sciences
Radiography
Scoliosis - congenital
Scoliosis - diagnostic imaging
Scoliosis - surgery
Spinal Fusion
Time Factors
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purposes of this study were to determine the long-term correction achieved by excision of lumbar hemivertebrae and the risk attendant. Seven patients had a follow-up of 41.14 months for lumbar hemivertebral excisions. Six had two-stage anterior vertebral body excision and, 7-8 days later, posterior lamina and pedicle excision with fusion. One patient had a single-stage correction. After surgery, the patients were in pantaloon casts or braces for a minimum of 6 months (supine, first 6-12 weeks). Hemivertebrae were at L2 (N = 1), L3 (N = 1), L4-L5 (N = 1), and L5-S1 (N = 4). Preoperative curves or hemivertebral angles averaged 36.6 degrees (range, 30-52 degrees). Average age was 7.5 years (range, 22 months to 12.5 years). Mean follow-up was 41.14 months. Surgical correction of the seven cases averaged 28.0 degrees. Two-stage procedures yielded 29.7 degrees correction with no complications; single-stage yielded 18 degrees correction, and the only complication was an L5 nerve root paresis.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199107000-00016