Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Congenital Kyphoscoliosis

N/ANot Yet RecruitingNCT06969339

Assiut University15 enrolled

Overview

A retrospective analysis of 12 adolescents undergoing unilateral posterior wedge closing VCR for neglected congenital kyphoscoliosis, assessing surgical outcomes over a mean 2.9-year follow-up.

Design: Single-center case series (Assiut University Hospital, 2015-2020). Intervention: Modified posterior VCR with unilateral convex wedge resection, spinal shortening, and instrumentation. Key Steps: Preoperative CT/MRI for anatomical planning. Posterior-only approach with pedicle screw instrumentation. Wedge resection focused on convex side, preserving concave continuity. Bone grafting (cancellous or mesh cage) post-correction. Follow-up: Radiographic and clinical assessments up to 2 years post-surgery.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Unilateral Posterior Wedge Closing

Eligibility

Sex: ALLMin age: 10 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: Age \>10 years. Congenital kyphoscoliosis diagnosis. No prior spinal surgery. Preoperative CT/MRI and 24-month follow-up data. Exclusion Criteria: Idiopathic or neuromuscular scoliosis Previous spinal surgery Incomplete radiographic or follow-up data

Outcomes

Primary Outcomes

Cobb angle correction

Change in coronal deformity angle (pre-op to post-op and 2-year follow-up).

Time frame: Baseline, and 2-year follow-up.

Secondary Outcomes

Blood loss

Intraoperative hemorrhage volume.

Time frame: Intraoperative

Data from ClinicalTrials.gov

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