Abstract：Objective To evalue the results of hemivertebra resection of congenital scolisosis through posterior approach.Methods From January 2009 to December 2013, 65 patients with congeital scoliosis were retrospectively investigated. There were 28 males and 37 females with an average age of 9.5 years(range, 2-43 years). They were managed by resection of the hemivertebra through a posterior approach. The chang of Cobb′s angle of scoliosis, apart from the apical vertebral translation and the trunk shift were compared in preoperation, postoperation and the last follow-up.Results All the cases were followed up(range, 14-50 months). The mean Cobb′s angle of scoliosis were corrected from 35.9°±6.0° preoperatively to 6.0°±1.6° postoperatively and to 5.3°±1.5° in the follow-up period with a correction rate of 85.2%, and the Cobb′s angle of kyphosis was improved from 28.5°± 9.3° to 6.6°±1.4° after the operation. Apart from the apical vertebral translation improved from(31.4±6.3)mm preoperatively to (6.2±1.4)mm postoperatively, the average trunk shift was also corrected from preoperative (17.8±2.1)mm to postoperative (5.5±1.3)mm. No complications were observed except 1 case of screw loosening. In addition, 2 cases with incomplete paraplegia were recovered gradually.Conclusions Hemivertebra resection through posterior approach to manage congenital scoliosis can eliminate the deformity, shorten the operation time, reduce fusion segments and rebalance the spine.
王欢，方煌，刘丰，王铮强，李潇，方忠，熊伟，李锋. 后路半椎体切除治疗先天性半椎体畸形[J]. 中华解剖与临床杂志, 2014, 19(4): 290-293.
Wang Huan, Fang Huang, Liu Feng, Wang Zhengqiang, Li Xiao, Fang Zhong, Xiong Wei, Li Feng. Hemivertebra resection for the treatment of congenital scoliosis with posterior approach. Chinese Journal of Anatomy and Clinics, 2014, 19(4): 290-293.
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2014, Vol. 19 
