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Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up.
J Neurosurg Spine. 2016 Aug; 25(2):225-33.JN

Abstract

OBJECTIVE

There have been no reports on the long-term radiographic outcomes of posterior vertebral column resection (PVCR) in patients with congenital scoliosis. The purpose of this study was to evaluate the surgical outcomes and complications after PVCR and its long-term effects on correcting this deformity in children with congenital scoliosis.

METHODS

The authors retrospectively analyzed the medical records of 45 patients with congenital scoliosis who were younger than 18 years at the time of surgery and who underwent PVCR and fusion with pedicle screw fixation (PSF). The mean age of the patients at the time of surgery was 11.3 years (range 2.4-18.0 years), and the mean length of follow-up was 12.8 years (range 10.1-18.2 years).

RESULTS

The mean Cobb angle of the main curve was 46.5° before PVCR, 13.7° immediately after PVCR, and 17.6° at the last follow-up. For the compensatory cranial curve, PVCR corrected the preoperative Cobb angle of 21.2° to 9.1° postoperatively and maintained it at 10.9° at the last follow-up. For the compensatory caudal curve, the preoperative Cobb angle of 23.8° improved to 7.7° postoperatively and was 9.8° at the last follow-up. The authors noted 22 complications, and the overall incidence of complications was 48.9%.

CONCLUSIONS

Posterior vertebral column resection is an effective procedure for managing congenital scoliosis in patients younger than 18 years. Use of PVCR and fusion with PSF for congenital scoliosis achieved rigid fixation and satisfactory deformity correction that was maintained over the long term. However, the authors note that PVCR is a technically demanding procedure and entails risks for major complications and excessive blood loss.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University;Department of Orthopaedic Surgery, Guro-Hospital, Korea University;Department of Orthopaedic Surgery, Kyung Hee Hospital, Kyung Hee University; and.Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University;Department of Orthopaedic Surgery, Guro-Hospital, Korea University;Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea.Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University;

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26967991

Citation

Chang, Dong-Gune, et al. "Congenital Scoliosis Treated With Posterior Vertebral Column Resection in Patients Younger Than 18 Years: Longer Than 10-year Follow-up." Journal of Neurosurgery. Spine, vol. 25, no. 2, 2016, pp. 225-33.
Chang DG, Yang JH, Lee JH, et al. Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up. J Neurosurg Spine. 2016;25(2):225-33.
Chang, D. G., Yang, J. H., Lee, J. H., Kim, J. H., Suh, S. W., Ha, K. Y., & Suk, S. I. (2016). Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up. Journal of Neurosurgery. Spine, 25(2), 225-33. https://doi.org/10.3171/2015.11.SPINE151099
Chang DG, et al. Congenital Scoliosis Treated With Posterior Vertebral Column Resection in Patients Younger Than 18 Years: Longer Than 10-year Follow-up. J Neurosurg Spine. 2016;25(2):225-33. PubMed PMID: 26967991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years: longer than 10-year follow-up. AU - Chang,Dong-Gune, AU - Yang,Jae Hyuk, AU - Lee,Jung-Hee, AU - Kim,Jin-Hyok, AU - Suh,Seung-Woo, AU - Ha,Kee-Yong, AU - Suk,Se-Il, Y1 - 2016/03/11/ PY - 2016/3/12/entrez PY - 2016/3/12/pubmed PY - 2017/2/23/medline KW - CB = coronal balance KW - LL = lumbar lordosis KW - MEP = motor evoked potential KW - PSF = pedicle screw fixation KW - PVCR = posterior vertebral column resection KW - SB = sagittal balance KW - SK = segmental kyphosis KW - SSEP = somatosensory evoked potential KW - TK = thoracic kyphosis KW - congenital scoliosis KW - hemivertebra KW - hemivertebra resection KW - long-term follow-up KW - pedicle screw fixation KW - posterior vertebral column resection KW - spinal disorders SP - 225 EP - 33 JF - Journal of neurosurgery. Spine JO - J Neurosurg Spine VL - 25 IS - 2 N2 - OBJECTIVE There have been no reports on the long-term radiographic outcomes of posterior vertebral column resection (PVCR) in patients with congenital scoliosis. The purpose of this study was to evaluate the surgical outcomes and complications after PVCR and its long-term effects on correcting this deformity in children with congenital scoliosis. METHODS The authors retrospectively analyzed the medical records of 45 patients with congenital scoliosis who were younger than 18 years at the time of surgery and who underwent PVCR and fusion with pedicle screw fixation (PSF). The mean age of the patients at the time of surgery was 11.3 years (range 2.4-18.0 years), and the mean length of follow-up was 12.8 years (range 10.1-18.2 years). RESULTS The mean Cobb angle of the main curve was 46.5° before PVCR, 13.7° immediately after PVCR, and 17.6° at the last follow-up. For the compensatory cranial curve, PVCR corrected the preoperative Cobb angle of 21.2° to 9.1° postoperatively and maintained it at 10.9° at the last follow-up. For the compensatory caudal curve, the preoperative Cobb angle of 23.8° improved to 7.7° postoperatively and was 9.8° at the last follow-up. The authors noted 22 complications, and the overall incidence of complications was 48.9%. CONCLUSIONS Posterior vertebral column resection is an effective procedure for managing congenital scoliosis in patients younger than 18 years. Use of PVCR and fusion with PSF for congenital scoliosis achieved rigid fixation and satisfactory deformity correction that was maintained over the long term. However, the authors note that PVCR is a technically demanding procedure and entails risks for major complications and excessive blood loss. SN - 1547-5646 UR - https://www.unboundmedicine.com/medline/citation/26967991/Congenital_scoliosis_treated_with_posterior_vertebral_column_resection_in_patients_younger_than_18_years:_longer_than_10_year_follow_up_ L2 - https://thejns.org/doi/10.3171/2015.11.SPINE151099 DB - PRIME DP - Unbound Medicine ER -