Early Onset Scoliosis by Ron El-Hawary & Craig P. Eberson

Author:Ron El-Hawary & Craig P. Eberson
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

A three-dimensional CT scan preoperatively helps in surgical planning and may identify a mismatch between the hemi-vertebral body and laminar anomalies. Recognizing this preoperatively is critical [14].

Think of the procedure as a “wedge” resection of hemivertebra and adjacent disc extending nearly all the way to the contralateral annulus. Just excising the hemivertebra bone without the rest of the “wedge” will limit correction and may cause inadvertent segmental lordosis.

Use the third rod connecting laminar hooks to generate all the force of correction [3]. This will spare the pedicle screws excessive force and preclude loss of pedicle screw fixation and the need for extension of the fixation to a vertebra above or below.

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