Reconstructive surgery for the post-hemiepiphysiodesis residual deformity in congenital scoliosis

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• 作者：Ryoji Tauchi (1)
  Taichi Tsuji (2)
  Tetsuya Ohara (2)
  Yoshitaka Suzuki (2)
  Toshiki Saito (2)
  Ayato Nohara (2)
  Ryo Sugawara (2)
  Shiro Imagama (1)
  Noriaki Kawakami (2)
  
• 关键词：Congenital scoliosis ; Hemiepiphysiodesis ; Salvage ; Deformity ; Osteotomy
• 刊名：European Journal of Orthopaedic Surgery & Traumatology
• 出版年：2013
• 出版时间：July 2013
• 年：2013
• 卷：23
• 期：1-supp
• 页码：111-113
• 全文大小：242 KB
• 参考文献：1. Ginsburg G, Mulconrey DS, Browdy J (2007) Transpedicular hemiepiphysiodesis and posterior instrumentation as a treatment for congenital scoliosis. J Pediatr Orthop 27(4):387鈥?91. doi:10.1097/01.bpb.0000271312.95621.b0 CrossRef
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  10. Aydogan M, Ozturk C, Tezer M, Mirzanli C, Karatoprak O, Hamzaoglu A (2008) Posterior vertebrectomy in kyphosis, scoliosis and kyphoscoliosis due to hemivertebra. J Pediatr Orthop B 17(1):33鈥?7. doi:10.1097/01.bpb.0000218031.75557.f0 CrossRef
  11. Ruf M, Harms J (2002) Hemivertebra resection by a posterior approach: innovative operative technique and first results. Spine (Phila Pa 1976) 27(10):1116鈥?123 CrossRef
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  13. Ruf M, Jensen R, Letko L, Harms J (2009) Hemivertebra resection and osteotomies in congenital spine deformity. Spine (Phila Pa 1976) 34(17):1791鈥?799. doi:10.1097/BRS.0b013e3181ab6290 CrossRef
  14. Kieffer J, Dubousset J (1994) Combined anterior and posterior convex epiphysiodesis for progressive congenital scoliosis in children aged聽<聽or聽=聽5聽years. Eur Spine J 3(2):120鈥?25 CrossRef
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• 作者单位：Ryoji Tauchi (1)
  Taichi Tsuji (2)
  Tetsuya Ohara (2)
  Yoshitaka Suzuki (2)
  Toshiki Saito (2)
  Ayato Nohara (2)
  Ryo Sugawara (2)
  Shiro Imagama (1)
  Noriaki Kawakami (2)
  
  1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan
  2. Department of Orthopaedic and Spine Surgery, Meijo Hospital, Nagoya, Japan
  
• ISSN：1432-1068

文摘

Spinal hemiepiphysiodesis is a well-known surgical procedure for correcting angular deformity in which the anterior and/or posterior epiphyseal plates of several vertebrae are fused on the convex side of the curvature with the expectation of spontaneous correction through continued growth of the concave side. We report on a patient with congenital scoliosis that had problems after hemiepiphysiodesis and required a salvage, reconstructive, antero-posterior combined surgery with instrumentation and osteotomy. After hemiepiphysiodesis, a marked fusion mass and a loss of bony landmarks made osteotomy and correction with a salvage surgery extremely difficult. We suggest that confirming the fusion area after hemiepiphysiodesis and determining the appropriate osteotomy site by 3D reconstruction images are important before salvage operations.