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.
| Original language | English |
|---|---|
| Pages (from-to) | 225-233 |
| Number of pages | 9 |
| Journal | Journal of Neurosurgery: Spine |
| Volume | 25 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2016 Aug 1 |
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Keywords
- Congenital scoliosis
- Hemivertebra
- Hemivertebra resection
- Long-term follow-up
- Pedicle screw fixation
- Posterior vertebral column resection
- Spinal disorders
ASJC Scopus subject areas
- Medicine(all)
Cite this
Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years : Longer than 10-year follow-up. / Chang, Dong Gune; Yang, Jae Hyuk; Lee, Jung Hee; Kim, Jin Hyok; Suh, Seung-Woo; Ha, Kee Yong; Suk, Se Il.
In: Journal of Neurosurgery: Spine, Vol. 25, No. 2, 01.08.2016, p. 225-233.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Congenital scoliosis treated with posterior vertebral column resection in patients younger than 18 years
T2 - 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
PY - 2016/8/1
Y1 - 2016/8/1
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.
AB - 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.
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
UR - http://www.scopus.com/inward/record.url?scp=84982182404&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84982182404&partnerID=8YFLogxK
U2 - 10.3171/2015.11.SPINE151099
DO - 10.3171/2015.11.SPINE151099
M3 - Article
C2 - 26967991
AN - SCOPUS:84982182404
VL - 25
SP - 225
EP - 233
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 2
ER -