title: Reconstructive surgery for the post-hemiepiphysiodesis residual deformity in congenital scoliosis.
abstract: 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.
authors: Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. ryoji-t@med.nagoya-u.ac.jp
authors: Ryoji
authors: R
authors: Tauchi
authors: Taichi
authors: T
authors: Tsuji
authors: Tetsuya
authors: T
authors: Ohara
authors: Yoshitaka
authors: Y
authors: Suzuki
authors: Toshiki
authors: T
authors: Saito
authors: Ayato
authors: A
authors: Nohara
authors: Ryo
authors: R
authors: Sugawara
authors: Shiro
authors: S
authors: Imagama
authors: Noriaki
authors: N
authors: Kawakami
mesh_terms: D016063:Blood Loss, Surgical; D002648:Child; D018450:Disease Progression; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D009460:Neurologic Examination; D061646:Operative Time; D012086:Reoperation / Q000379:methods; D012600:Scoliosis / Q000151:congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods; D013904:Thoracic Vertebrae / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome