ArticleBMC musculoskeletal disorders2024
Long-term results of single-stage posterior hemivertebra resection and short segment fusion using pedicle screws fixation in thoracolumbar congenital early-onset scoliosis: an 8.97-year average follow-up study.
Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Changes in coronal sacral tilt angle following hemivertebrectomy in children with scoliosis due to congenital lumbar hemivertebra.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- One-stage posterior-only radical hemivertebra resection and short-segment fusion for congenital cervicothoracic scoliosis: a cohort study.BMC surgery · 2026Article
- Fusion level selection in posterior hemivertebra resection for congenital scoliosis: clinical effect size driven feature selection and multi-criteria optimization decision model.Frontiers in medicine · 2026Article
- Unilateral biportal endoscopic lumbar hemivertebra resection with bilateral percutaneous fixation in a pediatric patient: a case report.Frontiers in pediatrics · 2026Article
- Unilateral Biportal Endoscopic Resection of Thoracic Hemivertebra in a Child: A Case Report Highlighting Technical Feasibility and the Critical Importance of Stabilization.Clinical case reports · 2025Article
- Advances in the diagnosis and treatment of congenital scoliosis.European journal of medical research · 2025Review
- Long-term growth and risk factors for crankshaft phenomenon following posterior hemivertebra resection with mono-segment fusion in congenital early-onset scoliosis.Journal of orthopaedic surgery and research · 2025Article
- Two-level versus multi-level fusion in posterior hemivertebra resection for congenital early-onset scoliosis: a 10-year comparative analysis of clinical outcomes and complication rates.Journal of orthopaedic surgery and research · 2025Article
- Surgical outcomes of Hemivertebra Resection with Mono-Segment Fusion in Children under 10 years with congenital scoliosis: a retrospective study stratified by the Crankshaft Phenomenon.BMC musculoskeletal disorders · 2025Article
- The progress of research on crankshaft phenomenon.Journal of orthopaedic surgery and research · 2025Review
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7 authors.
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Abstract
backgroundThis study aims to evaluate the long-term outcomes of one-stage posterior hemivertebra resection and short segment fusion with pedicle screw fixation in children with thoracolumbar congenital early-onset scoliosis (TLCEOS). It specifically investigates the durability of spinal correction and the incidence of complications over an average follow-up of 8.97 years.
methodsA retrospective review was conducted on 32 patients treated at a tertiary scoliosis referral center from April 2003 to December 2019. Inclusion criteria were thoracolumbar hemivertebra (T11-L1), treatment via posterior hemivertebra resection and short segment fusion (≤ 5 segments), age under 10 years at surgery, and a follow-up of at least 5 years. Exclusions included idiopathic, syndromic, or neuromuscular scoliosis. Data on demographics, surgical procedures, and radiographic outcomes were collected, and clinical outcomes were evaluated using the Scoliosis Research Society-22 (SRS-22) questionnaire. Statistical analysis was performed using SPSS and R software.
resultsThe study included 32 patients (22 males, 10 females) with a mean age of 5.00 ± 2.42 years at surgery and an average follow-up of 8.97 ± 2.81 years. On average, 3.47 ± 1.11 segments were fused. The main curve corrected from 38.64° ± 14.12° preoperatively to 9.06° ± 7.29° postoperatively, with a final correction rate of 61%. Significant improvements were observed in the SRS-22 domains of Appearance and Satisfaction with Treatment. There were 17 complications, including neurological, pulmonary, and mechanical issues, with some cases requiring revision surgery.
conclusionsOne-stage posterior hemivertebra resection and short segment fusion with pedicle screw fixation effectively correct TLCEOS long-term, offering significant improvements in patient appearance and satisfaction, with a manageable complication profile.
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