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Treatment of congenital scoliosis with single-level hemivertebrae

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The natural history of congenital scoliosis with hemivertebrae is unpredictable and the management is also controversial.

Materials and methods

Between 1986 and 2004, 22 patients (eight male and fourteen female, mean 19.3 years old) with single-level hemivertebrae related congenital scoliosis underwent non-operative or operative treatment at our institution with an average follow-up period of 8.8 years.

Results

Only a 5° curve progression was noted in upper thoracic hemivertebrae after followed up 6 years. By one stage combined anterior hemivertebrae excision, posterior instrumentation, and arthrodesis, up to 61% curve correction can be achieved. Posterior instrumentation, correction and arthrodesis showed a 25% correction. The result of pain relief is promising in skeletal-matured patients.

Conclusions

Surgical instrumentation, correction and arthrodesis showed good results. The optimal treatment of choice may differed from one to the other.

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Authors and Affiliations

  1. Department of Orthopedics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

    Yi-Te Chen

  2. Department of Orthopedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Yi-Te Chen, Shih-Tien Wang & Chien-Lin Liu

  3. Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, 201, Sec2, Shih-Pai Road, Taipei, 11221, Taiwan

    Shih-Tien Wang, Chien-Lin Liu & Tain-Hsiung Chen

Authors
  1. Yi-Te Chen
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  2. Shih-Tien Wang
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  3. Chien-Lin Liu
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  4. Tain-Hsiung Chen
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Correspondence to Shih-Tien Wang.

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Chen, YT., Wang, ST., Liu, CL. et al. Treatment of congenital scoliosis with single-level hemivertebrae. Arch Orthop Trauma Surg 129, 431–438 (2009). https://doi.org/10.1007/s00402-008-0596-8

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  • DOI: https://doi.org/10.1007/s00402-008-0596-8

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