Long-term results of single-stage posterior hemivertebra resection and short segment fusion using pedicle screws fixation in thoracolumbar congenital early-onset scoliosis: an 8.97-year average follow-up study

被引:2
作者
Peng, Zhiming [1 ]
Zhao, Yiwei [1 ]
Zhang, Haoran [1 ]
Du, You [1 ]
Yin, Xiangjie [1 ]
Wang, Shengru [1 ]
Zhang, Jianguo [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Orthoped Surg, 1st Shuai Fu Yuan, Beijing 100730, Peoples R China
关键词
Congenital early-onset scoliosis; Thoracolumbar hemivertebra; Hemivertebra resection; Spinal deformity correction; Long-term outcomes; CHILDREN YOUNGER; EXCISION;
D O I
10.1186/s12891-024-07931-y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
BackgroundThis study aims to evaluate the long-term outcomes of one-stage posterior hemivertebra resection and short segment fusion with pedicle screw fixation in children with thoracolumbar congenital early-onset scoliosis (TLCEOS). It specifically investigates the durability of spinal correction and the incidence of complications over an average follow-up of 8.97 years.MethodsA retrospective review was conducted on 32 patients treated at a tertiary scoliosis referral center from April 2003 to December 2019. Inclusion criteria were thoracolumbar hemivertebra (T11-L1), treatment via posterior hemivertebra resection and short segment fusion (<= 5 segments), age under 10 years at surgery, and a follow-up of at least 5 years. Exclusions included idiopathic, syndromic, or neuromuscular scoliosis. Data on demographics, surgical procedures, and radiographic outcomes were collected, and clinical outcomes were evaluated using the Scoliosis Research Society-22 (SRS-22) questionnaire. Statistical analysis was performed using SPSS and R software.ResultsThe study included 32 patients (22 males, 10 females) with a mean age of 5.00 +/- 2.42 years at surgery and an average follow-up of 8.97 +/- 2.81 years. On average, 3.47 +/- 1.11 segments were fused. The main curve corrected from 38.64 degrees +/- 14.12 degrees preoperatively to 9.06 degrees +/- 7.29 degrees postoperatively, with a final correction rate of 61%. Significant improvements were observed in the SRS-22 domains of Appearance and Satisfaction with Treatment. There were 17 complications, including neurological, pulmonary, and mechanical issues, with some cases requiring revision surgery.ConclusionsOne-stage posterior hemivertebra resection and short segment fusion with pedicle screw fixation effectively correct TLCEOS long-term, offering significant improvements in patient appearance and satisfaction, with a manageable complication profile.
引用
收藏
页数:10
相关论文
共 24 条
  • [11] Development and Validation of a Multidomain Surgical Complication Classification System for Adult Spinal Deformity
    Klineberg, Eric O.
    Wick, Joseph B.
    Lafage, Renaud
    Lafage, Virginie
    Pellise, Ferran
    Haddad, Sleiman
    Yilgor, Caglar
    Nunez-Pereira, Susana
    Gupta, Munish
    Smith, Justin S.
    Shaffrey, Christopher
    Schwab, Frank
    Ames, Christopher
    Bess, Shay
    Lewis, Stephen
    Lenke, Lawrence G.
    Berven, Sigurd
    [J]. SPINE, 2021, 46 (04) : E267 - E273
  • [12] Surgical outcomes in children under 10 years old in the treatment of congenital scoliosis due to single nonincarcerated thoracolumbar hemivertebra: according to the age at surgery
    Li, Haixia
    Chen, Zhiming
    Gao, Bo
    Wang, Jiaxu
    Shao, Shuilin
    Wu, Jigong
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2021, 16 (01)
  • [13] THE NATURAL-HISTORY OF CONGENITAL SCOLIOSIS - A STUDY OF 251 PATIENTS
    MCMASTER, MJ
    OHTSUKA, K
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1982, 64 (08) : 1128 - 1147
  • [14] HEMIVERTEBRA AS A CAUSE OF SCOLIOSIS - A STUDY OF 104 PATIENTS
    MCMASTER, MJ
    DAVID, CV
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1986, 68 (04): : 588 - 595
  • [15] Single-stage excision of hemivertebrae via the posterior approach alone for congenital spine deformity -: Follow-up period longer than ten years
    Nakamura, H
    Matsuda, H
    Konishi, S
    Yamano, Y
    [J]. SPINE, 2002, 27 (01) : 110 - 115
  • [16] Hemivertebra Resection and Osteotomies in Congenital Spine Deformity
    Ruf, Michael
    Jensen, Rubens
    Letko, Lynn
    Harms, Juergen
    [J]. SPINE, 2009, 34 (17) : 1791 - 1799
  • [17] Midterm Results of Hemivertebrae Resection and Transpedicular Short Fusion in Patients Younger Than 5 Years: How Do Thoracolumbar and Lumbosacral Curves Compare?
    Sanchez-Marquez, Jose Miguel
    Pizones, Javier
    Martin-Buitrago, Mar Perez
    Fernandez-Baillo, Nicomedes
    Perez-Grueso, Francisco Javier
    [J]. SPINE DEFORMITY, 2019, 7 (02) : 267 - 274
  • [18] One-stage posterior hemivertebra resection and correction using segmental posterior instrumentation
    Shono, Y
    Abumi, K
    Kaneda, K
    [J]. SPINE, 2001, 26 (07) : 752 - 757
  • [19] CRANKSHAFT PHENOMENON IN CONGENITAL SCOLIOSIS - A PRELIMINARY-REPORT
    TEREK, RM
    WEHNER, J
    LUBICKY, JP
    [J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1991, 11 (04) : 527 - 532
  • [20] Proximal Junctional Kyphosis Following Posterior Hemivertebra Resection and Short Fusion in Children Younger Than 10 Years
    Wang, Yingsong
    Kawakami, Noriaki
    Tsuji, Taichi
    Ohara, Tetsuya
    Suzuki, Yoshitaka
    Saito, Toshiki
    Nohara, Ayato
    Tauchi, Ryoji
    Kawakami, Kazuki
    Kin, B.
    [J]. CLINICAL SPINE SURGERY, 2017, 30 (04): : E370 - E376