ISSN:
1432-0932
Keywords:
Hemivertebrae
;
Progressive congenital scoliosis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Six patients aged ≤ 5 years with congenital scoliosis due to vertebral malformation were treated by anterior and posterior epiphysiodesis of the convexity. In all cases the pattern of deformity was a kyphoscoliosis. The average age at operation was 3 years 6 months, average follow-up was 4 years 6 months, and average preoperative angles were 42° in the frontal and 36° in the sagittal plane. The fusion included the malformative zone and the supe rior and inferior adjacent vertebrae. Two patients had a fusion effect, three patients had a true epiphysiodesis effect, and one patient had a postoperative progression of the deformity. Epiphysiodesis of the convexity is a treatment proper for the growing period, allowing the child either to reach skeletal maturity without needing further treatment or to achieve an adequate torso height to finish the treatment with a classical vertebral arthrodesis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02221453
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