title: Selective hemivertebrae resection in a congenital scoliosis patient with multiple hemivertebrae deformities.
abstract: To report the surgical experience of selective hemivertebrae resection for a case of congenital scoliosis with multiple hemivertebrae deformities.
  
  
  
  A 14-year-old male presented with progressive rib hump, tilted torso and spine deformity was admitted in our department. No abnormalities were detected in neurological examination and the comprehensive imaging study demonstrated congenital scoliosis of multiple hemivertebrae in T5, T10, L1 and L3. Treatment of the patient commenced with a 10-day skin traction therapy prior to the surgery. Selective resection of hemivertebrae in T5 and L1 was performed with segmental fusion from T3 to L2.
  
  
  
  After surgical procedure, the patient achieved a good coronal and sagittal balance along with a good correction of the curve. 18-month postoperative follow-up showed no evidence of significant loss of correction. No device-related complication such as implant loosening or failure or neurologic complication occurred during the follow-up. Besides, patient's shoulder balance was further improved and coronal balance was maintained in a normal range.
  
  
  
  Many factors have to be considered in the clinical decision-making of congenital scoliosis with multiple hemivertebrae deformities patients. Much emphasis in this regard is laid on the type and location of the hemivertebrae as well as the patient's age. Selective hemivertebrae resection may be more suitable for such patients.
authors.affiliation: Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chao-Yang District, Beijing, 100020, China.
authors.forename: Yangpu
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chao-Yang District, Beijing, 100020, China.
authors.forename: Jincai
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chao-Yang District, Beijing, 100020, China.
authors.forename: Lijin
authors.initials: L
authors.lastname: Zhou
authors.affiliation: Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chao-Yang District, Beijing, 100020, China.
authors.forename: Aixing
authors.initials: A
authors.lastname: Pan
authors.affiliation: Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, GongTiNanLu 8#, Chao-Yang District, Beijing, 100020, China. zhangyp223@163.com.
authors.forename: Yong
authors.initials: Y
authors.lastname: Hai
mesh_terms: D000293:Adolescent; D006801:Humans; D008159:Lumbar Vertebrae / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D012600:Scoliosis / Q000151:congenital / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000002:abnormalities* / Q000601:surgery
keywords: Congenital scoliosis; Hemivertebrae; Hemivertebrae resection; Pedicle screw fixation; Spinal fusion