Evidence map›Paper›PMID 40198371›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Posterior-only hemivertebra bone-disc-bone osteotomy (BDBO) without internal fixation in a 15-day-old neonate with 18-year follow-up.

Cefei Zhang, Weiming Hu, Fuyun Liu, Ke Xu, Bing Xia, Yufeng Zhao

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Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Cefei ZhangThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Weiming HuThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fuyun LiuThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China. liufuyun111@126.com.
Ke XuThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Bing XiaThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yufeng ZhaoThe Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

Henan Provincial Medical Science and Technology Co⁃construction Project No. LHGJ20190384
6 · The paper itself

Abstract

purposeTo report the long-term follow-up outcome of a 15-day-old neonate with congenital scoliosis treated with posterior-only hemivertebra bone-disc-bone osteotomy (BDBO) without internal fixation.

methodsA 15-day-old neonate presented with a lumbar dorsal bulge exhibiting central ulceration and fluid discharge, necessitating emergency hospital admission. The comprehensive imaging study showed a fully segmented right L5 hemivertebra, L3-L4 fusion, and anterior bone bar of T10-T11, syringomyelia at the L2 level, type I diastematomyelia at the L3-L4 level, open spinal meningocele, and tethered cord. Prior to surgery, the patient received a 3-day course of antibiotics to address potential infection concerns. Subsequently, the patient underwent concurrent procedures including repair of the spinal meningocele, resection of the bone crest, release of tethering, and posterior-only hemivertebra type 1 BDBO without internal fixation.

resultsThe surgical procedure lasted 165 min, accompanied by an intraoperative blood loss of approximately 50 mL and a blood transfusion of 50 mL. Preoperatively, the patient's hemoglobin level was 159 g/L, which decreased to 138 g/L postoperatively, with no complications. After the operation, the patient achieved a good correction of the spinal curve. The 18-year postoperative follow-up showed further improvement in the correction with good coronal and sagittal balance. The facet joint between the residual L5 hemivertebra and S1, as well as the contralateral facet joint was well preserved, with no pseudoarthrosis formation and a good spinal range of motion.

conclusionPosterior-only hemivertebra BDBO without internal fixation might be a simple, safe, effective and feasible surgical procedure for managing lumbosacral hemivertebra in very young children.

Indexed as

Lumbar VertebraeOsteotomyScoliosisFollow-Up StudiesHumansInfant, NewbornNeural Tube DefectsTreatment OutcomeBone-disc-bone osteotomyCongenital scoliosisHemivertebra resectionLumbosacral hemivertebraSpinal cord malformation

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