%0 Journal Article
%T Resecci¨®n de hemiv¨¦rtebra con t¨¦cnica de eggshell en cifoescoliosis cong¨¦nita: resultados en ni£¿os entre uno y siete a£¿os
%A Ocampo
%A Gonzalo Arriagada
%A Ferreyra
%A Andr¨¦s Chahin
%A Contreras
%A Samuel Pantoja
%A Leighton
%A Marcela Chamorro
%J Coluna/Columna
%D 2009
%I Sociedade Brasileira de Coluna (SBC)
%R 10.1590/S1808-18512009000300016
%X introduction: hemivertebrae is associated with 50% of the congenital kyphoscoliosis and surgical treatment is usually required. objective: to evaluate clinical and radiographic results of hemivertebra resection with an eggshell procedure in children aged from one to seven years old. study design: retrospective review of patients who underwent hemivertebrae resection with an eggshell procedure. methods: from january 2006 to june 2008, seven hemivertebrae were resected in seven consecutive patients aged one to seven years old. a retrospective chart and a radiographic review were performed. the mean age at surgery was 3,2 years (range from one to seven years). the mean follow-up was 17 months (range from 7 to 35 months). cobb's angle in the coronal and sagittal planes preoperative and at follow-up, operating time, transfusion requirements and complications were analyzed. results: the mean pre-operative scoliosis cobb's angle was 35¡ã and the average at follow-up was 19¡ã. the mean correction at follow-up was 40%. the average of the pre-operative kyphosis cobb's angle was 42¡ã and average at follow-up was 25¡ã. rate of correction at follow-up was 33%. four patients required transfusion, with an average of 1,25 blood units. the average of operating time was 225 minutes. complications were encountered in two patients; one dural tear and one pedicular fracture. no neurological complications. all patients achieved solid fusion at follow-up. conclusion: hemivertebra resection with the eggshell procedure is a safe surgical technique and provides an excellent and immediate correction of congenital kyphoscoliosis at short term follow-up.
%K spine [pathology]
%K scoliosis [congenital]
%K kyphosis [congenital]
%K congenital abnormalities.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1808-18512009000300016&lng=en&nrm=iso&tlng=en