Zeitschrift für Orthopädie und ihre Grenzgebiete
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Z Orthop Ihre Grenzgeb · May 2000
[Surgical therapy of hemivertebrae scoliosis and kyphosis--a retrospective analysis of 53 cases].
We performed a retrospective analysis of the results of operative treatment of 53 patients with congenital scoliosis (n = 47) or kyphosis (n = 6) due to hemivertebrae. ⋯ Spondylodesis without instrumentation is associated with an unsure prognosis with respect to effects on the progression of the scoliosis, even if it is performed on very young patients. In contrast, spondylodesis with instrumentation can achieve better and longer-lasting corrections of scoliosis even with larger initial curvatures. Scoliosis due to lumbar hemivertebrae is more amenable to surgical correction than thoracic scoliosis due to hemivertebrae.