Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity
We report the surgical treatment course of a 4-year-old girl with congenital scoliosis, diastematomyelia and double adjacent hemivertebrae. She had a lumbar curve with an apparent pelvic obliquity. Simultaneous excision of double segmented sequential hemivertebra at the L3–L4 level and fusion with s...
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| Format: | Article |
| Language: | English |
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AVES
2019-03-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X18301342 |
| _version_ | 1828018266735378432 |
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| author | Alpaslan Senkoylu Mehmet Cetinkaya Erdem Aktas Engin Cetin |
| author_facet | Alpaslan Senkoylu Mehmet Cetinkaya Erdem Aktas Engin Cetin |
| author_sort | Alpaslan Senkoylu |
| collection | DOAJ |
| description | We report the surgical treatment course of a 4-year-old girl with congenital scoliosis, diastematomyelia and double adjacent hemivertebrae. She had a lumbar curve with an apparent pelvic obliquity. Simultaneous excision of double segmented sequential hemivertebra at the L3–L4 level and fusion with short-segment instrumentation was performed via a posterior approach. Intraoperative radiographs revealed satisfactory curve correction and 0° pelvic obliquity. Following the excision of double adjacent hemivertebrae, three adjacent nerve roots were placed in one intervertebral foramen bilaterally. Nevertheless, no neurological deficit was developed, and the patient was able to ambulate with a brace at day one. Pelvic balance and deformity correction were maintained with no implant failure at the fifth year follow-up. Excision of two ipsilateral adjacent hemivertebra and short-segment posterior fusion performed via posterior-only approach simultaneously is an effective, safe, and less invasive technique for the treatment of the described case. Keywords: Spine, Deformity, Congenital scoliosis, Hemivertebra, Diastematomyelia |
| first_indexed | 2024-04-10T11:00:57Z |
| format | Article |
| id | doaj.art-64bc1f6eaa3449ec8e62401101bd188b |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:00:57Z |
| publishDate | 2019-03-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-64bc1f6eaa3449ec8e62401101bd188b2023-02-15T16:19:38ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-03-01532160164Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquityAlpaslan Senkoylu0Mehmet Cetinkaya1Erdem Aktas2Engin Cetin3Gazi University School of Medicine, Department of Orthopaedics and Traumatology, Ankara, TurkeyErzincan University Mengucek Gazi Training and Research Hospital, Erzincan, Turkey; Corresponding author. Erzincan Binali Yildrim University Mengucek Gazi Training and Research Hospital, Department of Orthopaedics and Traumatology, Merkez, Erzincan, 24100, Turkey. Tel.: +90 532 7969887. Fax: +90 312 2129008.TOBB University Hospital, Department of Orthopaedics and Traumatology, Ankara, TurkeyGaziosmanpasa Taksim Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, TurkeyWe report the surgical treatment course of a 4-year-old girl with congenital scoliosis, diastematomyelia and double adjacent hemivertebrae. She had a lumbar curve with an apparent pelvic obliquity. Simultaneous excision of double segmented sequential hemivertebra at the L3–L4 level and fusion with short-segment instrumentation was performed via a posterior approach. Intraoperative radiographs revealed satisfactory curve correction and 0° pelvic obliquity. Following the excision of double adjacent hemivertebrae, three adjacent nerve roots were placed in one intervertebral foramen bilaterally. Nevertheless, no neurological deficit was developed, and the patient was able to ambulate with a brace at day one. Pelvic balance and deformity correction were maintained with no implant failure at the fifth year follow-up. Excision of two ipsilateral adjacent hemivertebra and short-segment posterior fusion performed via posterior-only approach simultaneously is an effective, safe, and less invasive technique for the treatment of the described case. Keywords: Spine, Deformity, Congenital scoliosis, Hemivertebra, Diastematomyeliahttp://www.sciencedirect.com/science/article/pii/S1017995X18301342 |
| spellingShingle | Alpaslan Senkoylu Mehmet Cetinkaya Erdem Aktas Engin Cetin Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity Acta Orthopaedica et Traumatologica Turcica |
| title | Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| title_full | Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| title_fullStr | Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| title_full_unstemmed | Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| title_short | Excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| title_sort | excision and short segment fusion of a double ipsilateral lumbar hemivertebrae associated with a diastematomyelia and fixed pelvic obliquity |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X18301342 |
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