Skip to main content
SpringerLink
Log in

Hemivertebra Osteotomy

  • Chapter
  • First Online:
Spinal Osteotomy Orthopaedics

  • 205 Accesses

Abstract

Children with congenital hemivertebra deformity should be firstly evaluated for its potential progression with X-ray diagnosis (Fig. 10.1a–e). If one or two semi-vertebral bodies are present on the same side (left or right side) on the AP X-ray, it is expected that there will be more serious spinal deformities in the future. If hemivertebra exists on each side of the spine on the AP X-ray, and the distance of the two semi-vertebral bodies is relatively close, the spinal deformity is expected to be self-limited in the future. Conservative observation and external immobilization with bracing may be used instead of surgery immediately. However, single or double hemivertebra ipsilaterally (Fig. 10.2) is an indication of surgery as soon as possible to avoid severe progression in the future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Tian H, Li F. Spinal deformity and osteotomy. Xi’an: World Book; 2001. p. 377–519.

    Google Scholar 

  2. Chen A, Xu W. Spinal surgery atlas. Beijing: People’s Medical Publishing House; 2001. p. 77–300.

    Google Scholar 

  3. Tian H. Spinal surgeons should be good at using rongeurs and osteotome. Chin J Mod Oper Surg. 2002;6(1):67–9.

    Google Scholar 

  4. Tian H. Application of “Tian’s spinal bone knife” in orthopaedic surgery. Chin J Orthop. 2003;11(15):1073–5.

    Google Scholar 

  5. Dang G. Surgical techniques for the spine. Beijing: People’s Medical Publishing House; 2004. p. 102–245.

    Google Scholar 

  6. Tian H, Lv X, Ma Y. Treatment of severe spinal curvature with total spine osteotomy and internal fixation with head-sleeve ring. Chin J Orthop. 2007;15(3):167–72.

    Google Scholar 

  7. Tian H, Liu S, Ma Y. Practical spine surgery. Guangzhou: Guangdong Science and Technology Press; 2008. p. 87–285.

    Google Scholar 

  8. Tian H, Liu S, Ma Y. Practical spine surgery illustration. Beijing: People’s Military Medical Press; 2008. p. 152–546.

    Google Scholar 

  9. Tian H, Ma Y, Lv X. Halo pelvic distraction and elastic growing rods fixation for treatment of scoliosis during growing period. Orthop J Chin. 2008;16(21):1660–3.

    Google Scholar 

  10. Tian H, Bai J, Liu S. Operative orthopaedics gist & atlas. Beijing: People’s Medical Publishing House; 2009. p. 93–144.

    Google Scholar 

  11. Tian H. History of treatment of spinal deformity in China. Chin J Orthop. 2009;17(9):706–7.

    Google Scholar 

  12. Tian H, Wan Y, Li M. Halo-pelvic distraction techniques for the spinal deformity. Guangzhou: Guangdong Science and Technology Press; 2010. p. 3–252.

    Google Scholar 

  13. Vaccaro AR, Albert TJ. Spinal surgery tricks of the trade. 2nd ed. Shenyang: Liaoning Science and Technology Press; 2010. p. 229–32.

    Google Scholar 

  14. Tian H, Alken A, Du P, et al. Posterior hemiverteectomy for congenital horny kyphosis. Chin J Orthop. 2010;18(15):1250–3.

    Google Scholar 

  15. Tian H, Alken A, Ma Y. Prophylactic osteotomy for the treatment of congenital lateral paravertebral vertebral body. Chin J Orthop. 2011;19(07):541–4.

    Google Scholar 

  16. Tian H. Pedicle lateral screw-rod system for the treatment of scoliosis. Orthop J China. 2011;19(13):1135–9.

    Google Scholar 

  17. Tian H. Tuberculous kyphosis osteotomy orthopedic surgery. Chin J Orthop. 2011;19(23):1937–40.

    Google Scholar 

  18. Tian H, Li M, Ma Y. Spinal deformity osteotomy orthopedics, vol. 5. Beijing: People’s Medical Publishing House; 2011. p. 3–339.

    Google Scholar 

  19. Xu S, Ge B, Xu Y. Practical orthopedics, vol. 2. 3rd ed. Beijing: People’s Military Medical Press; 2011. p. 1776–7.

    Google Scholar 

  20. Tian H, Zhang H, Liang Y. Surgical treatment of spinal deformity. Guangzhou: Guangdong Science and Technology Press; 2012. p. 1–483.

    Google Scholar 

  21. Tian H, Li M, Wang Z. Key points and diagrams of thoracolumbar surgery. Beijing: People’s Medical Publishing House; 2012. p. 1–470.

    Google Scholar 

  22. Errico TJ, Lonner BS, Moulton AW. Surgical management of spinal deformities. Beijing: Peking University Medical Press; 2011. p. 1.133–5.

    Google Scholar 

  23. Leong JCY, Day GA, Luk KDK, Freedman LS, Ho EKW. Nine-year mean follow-up of one stage anteroposterior excision of hemivertebrae in the lumbosacral spine. Spine. 1993;18(14):2069–74.

    Article  CAS  PubMed  Google Scholar 

  24. Wang L, Liu S, Huang C, et al. Surgical techniques for children’s spinal deformity correction. Beijing: People’s Military Medical Press; 2014. p. 1–415.

    Google Scholar 

  25. Tian H, Lv X, Tian B. Halo pelvic distraction in combination with total spine osteotomy and internal fixation for treatment of severe scoliosis. Orthop J China. 2006;1(1):11–6.

    Google Scholar 

  26. Tian H, Qu L, Lu X, et al. Application of traction osteogenesis technique in spinal deformity during development. Orthop J China. 2006;14(13):969–71.

    Google Scholar 

  27. Tian H. Surgical treatment of congenital scoliosis. Chin J Orthop. 1999;5:223.

    Google Scholar 

  28. Tian H. Surgical treatment of kyphosis kyphosis. Chin J Orthop. 1992;12(3):162–5.

    Google Scholar 

  29. Tian H, Yuan T, Tian S. Posterior invasion and vertebral osteotomy. Spinal Deformation. 1992;7(1):4.

    Google Scholar 

  30. Tian H. Treatment of kyphosis and kyphoscoliosis with combined vertebrae and vertebral arch osteotomy. Chin J Orthop. 1989;9(5):321–4.

    Google Scholar 

  31. Hu Y, Dang G, Tang T. The textbook of spinal surgery. 2nd ed. Beijing: People’s Medical Publishing House; 2000. p. 1591–848.

    Google Scholar 

  32. Li M, Hou T. The basic principles and techniques of scoliosis surgery. Shanghai: Second Military Medical University Press; 2001. p. 27–116.

    Google Scholar 

  33. Ouyang L, Qian J, Xu H, et al. Anatomy of the extraspedicular screw fixation through costotransverse unit of thoracic vertebrae. Chin J Clin Anat. 2009;27(4):397–400.

    Google Scholar 

  34. Yan J, Huan J, Zheng Z, et al. CT measurement of the upper-middle thoracic pedicle-rid unit and its significance. Chin J Clin Anat. 2007;25(6):636–9.

    Google Scholar 

  35. Zhong S, Jin D. Spinal internal fixation. Beijing: Science Press; 2012. p. 438–54.

    Google Scholar 

  36. Tian H, Wang Z, Wang C. Pediatric operative orthopaedics. Beijing: People’s Medical Publishing House; 2014. p. 1–640.

    Google Scholar 

  37. Tian H, Li F, Tan J. Children’s spinal operative orthopaedics. Guangzhou: Guangdong Science and Technology Press; 2016. p. 1–443.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Spinal Surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, China

    Huizhong Tian, Xu Zhu, Jie Dai, Junyi Ma & Jiangtao Sui

  2. Department of Orthopedics, Nanlang Branch, Zhongshan People’s Hospital, Zhongshan, Guangdong, China

    Junjie Cheng

  3. Department of Orthopedics, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, China

    Tao Li, Zhibo Song, Zhiyue Shi, Zhi Zhao & Quan Li

  4. Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China

    Weibin Sheng

  5. Spinal Surgery, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China

    Shaoyu Liu

Authors
  1. Huizhong Tian
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Junjie Cheng
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tao Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Zhibo Song
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Zhiyue Shi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Zhi Zhao
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Xu Zhu
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jie Dai
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Junyi Ma
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Jiangtao Sui
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Weibin Sheng
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Shaoyu Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Quan Li
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Spinal Surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, China

    Huizhong Tian

  2. Spinal Surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, China

    Yuan Ma

  3. Department of Orthopedics, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, China

    Jingming Xie

  4. Department of Orthopedics, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, China

    Yingsong Wang

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Guangdong Science & Technology Press Co., Ltd

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tian, H. et al. (2021). Hemivertebra Osteotomy. In: Tian, H., Ma, Y., Xie, J., Wang, Y. (eds) Spinal Osteotomy Orthopaedics. Springer, Singapore. https://doi.org/10.1007/978-981-16-1387-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-1387-6_10

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-1386-9

  • Online ISBN: 978-981-16-1387-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation