PROGRESS OF ONE-STAGE POSTERIOR HEMIVERTEBRA RESECTION FOR CONGENITAL KYPHOSCOLIOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZOUChuanqi ,  CHUTongwei , ZHOUYue

Department of Orthopadics, Xinqiao Hospital, Third Military Medical University, Chongqing, 400038, P. R. China;

Corresponding?author：

CHUTongwei, Email: chtw@sina.com

Keywords：

Congenital kyphoscoliosis; Posterior approach operation; Hemivertebra resection

DOI：

10.7507/1002-1892.20140199

Video：

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Objective To summarize the research progress of one-stage posterior hemivertebra resection for congenital kyphoscoliosis. Methods The domestic and foreign related literature about spinal hemivertebra deformity,and many aspects of its operation mode,operation timing,the fixed segment,and operation complications were summarized and analysed. Results The hemivertebra resection can remove teratogenic factors directly,and is favor by the majority of domestic and foreign physicians,but the procedure,indications,long-term effectiveness,and postoperative complications are still unconcern,and the operation timing and fixed-fused segment is still controversial. Conclusion The operation timing and the fixed segment of one-stage posterior hemivertebra resection for congenital kyphoscoliosis need further research.

Citation： ZOUChuanqi, CHUTongwei, ZHOUYue. PROGRESS OF ONE-STAGE POSTERIOR HEMIVERTEBRA RESECTION FOR CONGENITAL KYPHOSCOLIOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(7): 909-912. doi: 10.7507/1002-1892.20140199 Copy

1.	Callahan BC,Georgopoulos G,Eilert RE.Hemivertebral excision for congenital scoliosis.J Pediatr Orthop,1997,17(1):96-99.
2.	Ruf M,Harms J.Psterior hemivertebra resection with transpedicular instrumentation:early correction in children aged 1 to 6 years.Spine (Phila Pa 1976),2003,28(18):2132-2138.
3.	孫武,仉建國,邱貴興,等.前后路與后路半椎體切除術矯治先天性脊柱側后凸的療效分析.中華醫學雜志,2012,92(11):756-759.
4.	Shono Y,Abumi K,Kaneda K.One-stage posterior hemivertebra resection and correction using segmental posterior instrumentation.Spine (Phila Pa 1976),2001,26(7):752-757.
5.	Nakamura H,Matsuda H,Konishi S,et al.Single-stage excision of hemivertebrae via the posterior approach alone for congenital spine deformity.Spine (Phila Pa 1976),2002,27(1):110-115.
6.	Mladenov K,Kunkel P,Stuecker R.Hemivertebra resection in children,results after single posterior approach and after combined anterior and posterior approach:a comparative study.Eur Spine J,2012,21(3):506-513.
7.	Jeszenszky D,Fekete TF,Kleinstueck FS,et al.Fusionless posterior hemivertebra resection in a 2-year-old child with 16 years follow-up.Eur Spine J,2012,21(8):1471-1476.
8.	仉建國,孫武,邱貴興,等.后路一期半椎體切除治療脊柱上胸段側后凸畸形.中國脊柱脊髓雜志,2012,22(1):49-53.
9.	Obeid I,Bourghli A,Vital JM.Lumbar hemivertebra resection by posterior approach for congenital scoliosis.Eur Spine J,2012,21(12):2721-2723.
10.	Peng X,Chen L,Zou X.Hemivertebra resection and scoliosis correction by a unilateral posterior approach using single rod and pedicle screw instrumentation in children under 5 years of age.J Pediatr Orthop B,2011,20(6):397-403.
11.	Callahan BC,Georgopoulos G,Eilert RE.Hemivertebral excision for congenital scoliosis.J Pediatr Orthop,1997,17(1):96-99.
12.	Zarghooni K,Sobotrke R,Schmidt H,et al.Dorsal resection of a thoracic hemivertebra in a 4-year-old boy with endochondral gigantism.A case report.Acta Orthop Belg,2010,76(5):699-705.
13.	Kose KC,Inanmaz ME,Altinel L,et al.Convex short segment instrumentation and hemichevron osteotomies for Putti type 1 thoracic hemivertebrae:a simple treatment option for patients under 5 years old.J Spinal Disord Tech,2013,26(6):E240-247.
14.	Crostelli M,Mazza O,Mariani M.Posterior approach lumbar and thoracolumbar hemivertebra resection in congenital scoliosis in children under 10 years of age:results with 3 years mean follow up.Eur Spine J,2014,23(1):209-215.
15.	Xu W,Yang S,Wu X,et al.Hemivertebra excision with short-segment spinal fusion through combined anterior and posterior approaches for congenital spinal deformities in children.J Pediatr Orthop B,2010,19(6):545-550.
16.	Zhu X,Wei X,Chen J,et al.Posterior hemivertebra resection and monosegmental fusion in the treatment of congenital scoliosis.Ann R Coll Surg Engl,2014,96(1):41-44.
17.	Halm H.Transpedicular hemivertebra resection and instrumented fusion for congenital scoliosis.Eur Spine J,2011,20(6):993-994.
18.	Ruf M,Jensen R,Lekto L,et al.Hemivertebra resection and osteotomies in congenital spine deformity.Spine (Phila Pa 1976),2009,34(17):1791-1799.
19.	Winter RB,Burger FL.L₅ hemivertebra resection and T12-S1 fusion in a 14-year-old female with a 36-year follow-up.Spine (Phila Pa 1976),2012,37(7):E445-450.
20.	Obeid I,Bourghli A,Vital JM.Thoracic hemivertebra resection by posterior approach for congenital scoliosis.Eur Spine J,2013,22(3):678-680.
21.	Wang S,Zhang J,Qiu G,et al.Posterior hemivertebra resection with bisegmental fusion for congenital scoliosis:more than 3 year outcomes and analysis of unanticipated surgeries.Eur Spine J,2013,22(2):387-393.
22.	Winter RB.Congenital thoracic scoliosis with unilateral unsegmented bar,convex hemivertebrae,and fused concave ribs with severe progression after posterior fusion at age 2:40-year follow-up after revision anterior and posterior surgery at age 8.J Spinal Disord Tech,2012,37(8):E507-510.
23.	Zhang J,Shengru W,Qiu G,et al.The efficacy and complications of posterior hemivertebra resection.Eur Spine J,2011,20(10):1692-1702.
24.	Li X,Luo Z,Li X,et al.Hemivertebra resection for the treatment of congenital lumbarspinal scoliosis with lateral-posterior approach.Spine (Phila Pa 1976),2008,33(18):2001-2006.
25.	李明,倪春鴻,朱曉東,等.后路半椎體切除節段固定矯正側后凸畸形療效初步觀察.中國矯形外科雜志,2004,12(5):338-341.
26.	Winter RB,Lonstein JE.Scoliosis secondary to a hemivertebra:seven patients with gradual improvement without treatment.Spine (Phila Pa 1976),2010,35(2):E49-52.
27.	仉建國,邱貴興,于斌,等.后路半椎體切除術治療先天性脊柱側后凸的初步結果.中華骨科雜志,2006,26(3):156-160.
28.	王巖,張永剛,張雪松,等.后路半椎體切除、短節段經椎弓根內固定術治療小兒先天性脊柱側凸.中國脊柱脊髓雜志,2006,16(3):196-199.
29.	Holte DC,Winter RB,Lonstein JE,et al.Excision of hemivertebrae and wedge resection in the treatment of congenital scoliosis.J Bone Joint Surg (Am),1995,77(2):159-171.

1. Callahan BC,Georgopoulos G,Eilert RE.Hemivertebral excision for congenital scoliosis.J Pediatr Orthop,1997,17(1):96-99.
2. Ruf M,Harms J.Psterior hemivertebra resection with transpedicular instrumentation:early correction in children aged 1 to 6 years.Spine (Phila Pa 1976),2003,28(18):2132-2138.
3. 孫武,仉建國,邱貴興,等.前后路與后路半椎體切除術矯治先天性脊柱側后凸的療效分析.中華醫學雜志,2012,92(11):756-759.
4. Shono Y,Abumi K,Kaneda K.One-stage posterior hemivertebra resection and correction using segmental posterior instrumentation.Spine (Phila Pa 1976),2001,26(7):752-757.
5. Nakamura H,Matsuda H,Konishi S,et al.Single-stage excision of hemivertebrae via the posterior approach alone for congenital spine deformity.Spine (Phila Pa 1976),2002,27(1):110-115.
6. Mladenov K,Kunkel P,Stuecker R.Hemivertebra resection in children,results after single posterior approach and after combined anterior and posterior approach:a comparative study.Eur Spine J,2012,21(3):506-513.
7. Jeszenszky D,Fekete TF,Kleinstueck FS,et al.Fusionless posterior hemivertebra resection in a 2-year-old child with 16 years follow-up.Eur Spine J,2012,21(8):1471-1476.
8. 仉建國,孫武,邱貴興,等.后路一期半椎體切除治療脊柱上胸段側后凸畸形.中國脊柱脊髓雜志,2012,22(1):49-53.
9. Obeid I,Bourghli A,Vital JM.Lumbar hemivertebra resection by posterior approach for congenital scoliosis.Eur Spine J,2012,21(12):2721-2723.
10. Peng X,Chen L,Zou X.Hemivertebra resection and scoliosis correction by a unilateral posterior approach using single rod and pedicle screw instrumentation in children under 5 years of age.J Pediatr Orthop B,2011,20(6):397-403.
11. Callahan BC,Georgopoulos G,Eilert RE.Hemivertebral excision for congenital scoliosis.J Pediatr Orthop,1997,17(1):96-99.
12. Zarghooni K,Sobotrke R,Schmidt H,et al.Dorsal resection of a thoracic hemivertebra in a 4-year-old boy with endochondral gigantism.A case report.Acta Orthop Belg,2010,76(5):699-705.
13. Kose KC,Inanmaz ME,Altinel L,et al.Convex short segment instrumentation and hemichevron osteotomies for Putti type 1 thoracic hemivertebrae:a simple treatment option for patients under 5 years old.J Spinal Disord Tech,2013,26(6):E240-247.
14. Crostelli M,Mazza O,Mariani M.Posterior approach lumbar and thoracolumbar hemivertebra resection in congenital scoliosis in children under 10 years of age:results with 3 years mean follow up.Eur Spine J,2014,23(1):209-215.
15. Xu W,Yang S,Wu X,et al.Hemivertebra excision with short-segment spinal fusion through combined anterior and posterior approaches for congenital spinal deformities in children.J Pediatr Orthop B,2010,19(6):545-550.
16. Zhu X,Wei X,Chen J,et al.Posterior hemivertebra resection and monosegmental fusion in the treatment of congenital scoliosis.Ann R Coll Surg Engl,2014,96(1):41-44.
17. Halm H.Transpedicular hemivertebra resection and instrumented fusion for congenital scoliosis.Eur Spine J,2011,20(6):993-994.
18. Ruf M,Jensen R,Lekto L,et al.Hemivertebra resection and osteotomies in congenital spine deformity.Spine (Phila Pa 1976),2009,34(17):1791-1799.
19. Winter RB,Burger FL.L₅ hemivertebra resection and T12-S1 fusion in a 14-year-old female with a 36-year follow-up.Spine (Phila Pa 1976),2012,37(7):E445-450.
20. Obeid I,Bourghli A,Vital JM.Thoracic hemivertebra resection by posterior approach for congenital scoliosis.Eur Spine J,2013,22(3):678-680.
21. Wang S,Zhang J,Qiu G,et al.Posterior hemivertebra resection with bisegmental fusion for congenital scoliosis:more than 3 year outcomes and analysis of unanticipated surgeries.Eur Spine J,2013,22(2):387-393.
22. Winter RB.Congenital thoracic scoliosis with unilateral unsegmented bar,convex hemivertebrae,and fused concave ribs with severe progression after posterior fusion at age 2:40-year follow-up after revision anterior and posterior surgery at age 8.J Spinal Disord Tech,2012,37(8):E507-510.
23. Zhang J,Shengru W,Qiu G,et al.The efficacy and complications of posterior hemivertebra resection.Eur Spine J,2011,20(10):1692-1702.
24. Li X,Luo Z,Li X,et al.Hemivertebra resection for the treatment of congenital lumbarspinal scoliosis with lateral-posterior approach.Spine (Phila Pa 1976),2008,33(18):2001-2006.
25. 李明,倪春鴻,朱曉東,等.后路半椎體切除節段固定矯正側后凸畸形療效初步觀察.中國矯形外科雜志,2004,12(5):338-341.
26. Winter RB,Lonstein JE.Scoliosis secondary to a hemivertebra:seven patients with gradual improvement without treatment.Spine (Phila Pa 1976),2010,35(2):E49-52.
27. 仉建國,邱貴興,于斌,等.后路半椎體切除術治療先天性脊柱側后凸的初步結果.中華骨科雜志,2006,26(3):156-160.
28. 王巖,張永剛,張雪松,等.后路半椎體切除、短節段經椎弓根內固定術治療小兒先天性脊柱側凸.中國脊柱脊髓雜志,2006,16(3):196-199.
29. Holte DC,Winter RB,Lonstein JE,et al.Excision of hemivertebrae and wedge resection in the treatment of congenital scoliosis.J Bone Joint Surg (Am),1995,77(2):159-171.

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PROGRESS OF ONE-STAGE POSTERIOR HEMIVERTEBRA RESECTION FOR CONGENITAL KYPHOSCOLIOSIS

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