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Hemivertebrectomy in Early-Onset Scoliosis

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The Growing Spine

Abstract

Hemivertebra resection, first described by Royle in 1928, has become a routinely used technique in selected indication for congenital scoliosis. However controversies still exist between those who prefer convex epiphysiodesis rather than hemivertebrectomy and between the different techniques used to remove the hemivertebra.

In this chapter emphasis will first be placed on the specific pathoanatomy of a hemivertebra, leading to a better understanding of the goals a surgeon must consider when performing a hemivertebrectomy. Attention must be paid not only to the frontal plane but also to the sagittal plane. Postoperative immediate and late stability must be obtained.

There are different treatment options to remove a hemivertebra: anterior and posterior approach in a single operative session or through two separate sessions, posterior approach alone, eggshell procedure and the use of different implants such as hooks or pedicle screws.

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Author information

Authors and Affiliations

  1. Department of Pediatric Orthopedic Service Pr Jouve, Timone Childrens Hospital, 264 Rue Saint Pierre, Marseilles, Bouches du Rhône, France

    G. Bollini PhD

  2. Department of Orthopaedic Surgery, Saint-Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium

    P. L. Docquier MD, PhD

  3. Department of Pediatric Orthopedics, Timone Children Hospital, Marseille, France

    Jean-Luc Jouve MD, PhD

Authors
  1. G. Bollini PhD
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  2. P. L. Docquier MD, PhD
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  3. Jean-Luc Jouve MD, PhD
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Corresponding author

Correspondence to G. Bollini PhD .

Editor information

Editors and Affiliations

  1. San Diego Center for Spinal Disorders Medical Group, Inc., La Jolla, California, USA

    Behrooz A. Akbarnia

  2. Hacettepe University Dept. Orthopedics & Traumatology, Sihhiye, Ankara, Turkey

    Muharrem Yazici

  3. Rainbow Babies & Children's Hospital, Cleveland, Ohio, USA

    George H. Thompson

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Bollini, G., Docquier, P.L., Jouve, JL. (2016). Hemivertebrectomy in Early-Onset Scoliosis. In: Akbarnia, B., Yazici, M., Thompson, G. (eds) The Growing Spine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48284-1_31

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  • DOI: https://doi.org/10.1007/978-3-662-48284-1_31

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48283-4

  • Online ISBN: 978-3-662-48284-1

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