Posterior hemivertebra resection in combination with screw rod internal fixation in the treatment of pediatric congenital scoliosis

YL. Tian, J. Geng, F. Wang, YP. Zheng

Article ID: 5129
Vol 32, Issue 2, 2018
DOI: https://doi.org/10.54517/jbrha5129
Received: 9 May 2018; Accepted: 9 May 2018; Available online: 9 May 2018; Issue release: 9 May 2018

Abstract

Congenital scoliosis, a commonly seen disease occurring in children, can not only affect the growth, but also can uglify the individual which can severely affect the health and quality of life of children. To investigate the efficacy of posterior hemivertebra resection in combination with screw rod internal fixation in the treatment of congenital hemivertebra scoliosis, 115 patients were randomly divided into an observation group and a control group. Patients in the observation group were treated by posterior hemivertebra resection in combination with screw rod internal fixation, while patients in the control group were treated by posterior hemivertebra resection only. The surgical evaluation indicators, postoperative improvement of scoliosis and incidence of complications were recorded. The results demonstrated that the observation group had longer average operation time and less average blood loss compared to the control group, and the differences had statistical significance (P less than0.05); the correction efficacy of the observation group was superior to that of the control group (P less than 0.05); the incidence of postoperative complications in the two groups had no significant difference, but the incidence of correction loss of the observation group was much lower than that of the control group (P less than 0.05). In conclusion, posterior hemivertebra resection in combination with screw rod internal fixation is a highly efficient and safe treatment which can significantly relieve the clinical symptoms and cause few complications.


Keywords

congenital scoliosis;posterior hemivertebra resection;screw rod internal fixation


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