Scoliosis secondary to neglected Hemivertebra: A case report

• Published in: International journal of surgery case reports 2024-06, Vol.119, p.109725, Article 109725
• Main Authors: Haouas, Mohammed Yassine, Elkhamouye, Amine, Aadoud, Khalid, Hilmani, Said, Ibahioin, Khadija, Lakhdar, Abdelhakim
• Format: Article
• Language: English
• Subjects: Case Report; Congenital malformations; Early diagnosis; Hemivertebrae; Scoliosis; Spine
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.109725

A hemivertebra is a congenital anomaly of the spine characterized by an incomplete vertebra resulting from a failure in the formation of the vertebral body. The significance of this article lies in the fact that early diagnosis of hemivertebra allows for personalized surgical treatment, which can enhance outcomes and prevent the development of spinal deformities and associated complications. We report on the case of a 17-year-old girl with scoliosis secondary to lumbar hemivertebra, where surgical management was very late due to parental negligence, which delayed diagnosis. Multiple surgical procedures are currently used for hemivertebra excision. The approaches available can be globally anteroposterior or posterior alone. Late treatment of this type of deformity requires longer fusion, with a high risk of neurological complications. Early surgical intervention is therefore indicated to correct local deformities. Early correction of primary deformities helps avoid secondary changes. Hemivertebrae represent an interesting group of congenital anomalies. Their presence can potentially disrupt the normal curvature of the spine. Antenatal ultrasound screening enables early diagnosis of congenital malformations. Early diagnosis of a hemivertebra allows early surgical management that is less aggressive than when the diagnosis is made late, during growth. •A hemivertebra is a congenital anomaly of the spine characterized by an incomplete vertebra resulting from a failure in the formation of the vertebral body.•The significance of this article lies in the fact that early diagnosis of hemivertebra allows for personalized surgical treatment, which can enhance outcomes and prevent the development of spinal deformities and associated complications.•Early surgical intervention is therefore indicated to correct local deformities. Early correction of primary deformities helps avoid secondary changes.•Antenatal ultrasound screening enables early diagnosis of congenital malformations. Early diagnosis of a hemivertebra allows early surgical management that is less aggressive than when the diagnosis is made late, during growth.