توقف رشد در نيمه محدب انحناي ستون فقرات از جلو و پشت در اسكوليوز مادرزادي

Anterior and Posterior Convex Growth Arrest for Congenital Scoliosis

Background: Congenital vertebral development produces the congenital scoliosis which is often progressive requiring surgical intervention. Convex hcmicpiphysiodesis of the involved segments is a useful technique in young children. We are reporting our experience with such a treatment. Methods: Among the congenital scoliotic curves treated In Shafa hospital in Tehran in 19-year period, the ones that had undergone convex hemiepiphysiodesis were identified. Twenty three patients (13 females, 10 males) with a mean follow-up of 5.6 years (2-19 years) were clinically and radiographically evaluated, and the pre and post operative findings were analyzed. Results: Improvement in curve magnitude ",ʹas best observed in hemivertebra cases. Nine cases of hemivertebra obtained 18 degrees correction while in 14 cases of type III (mixed type) anomally 15 degrees correction was observed (p=O.04). Failure (continued progression of scoliotic curve) had a large kyphotic angle at the beginning. Conclusions: Convex vertebral herniepiphysiodesis in congenital scoliosis, especially hemivertebral cases is a useful procedure when performed in early childhood.