Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Congenital Kyphoscoliosis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Unilateral Posterior Wedge Closing. Basic parameters: 10 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Adolescent Neglected Congenital Kyphoscoliosis
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.
Detailed description
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.
Primary outcome measures
- Cobb angle correction [Time frame: Baseline, and 2-year follow-up.]
Secondary outcome measures (1)
- Blood loss [Time frame: Intraoperative]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine (Phila Pa 1976). 2002 Nov 1;27(21):2374-82. doi: 10.1097/00007632-200211010-00012. PMID 12438987
- Yang JH, Kim HJ, Chang DG, Suh SW, Nam Y, Hong JY. The Efficacy of Single-Stage Correction by Posterior Approach for Neglected Congenital Scoliosis: Comparative Analysis According to the Age of Surgical Intervention. J Clin Med. 2022 Apr 19;11(9):2278. doi: 10.3390/jcm11092278. PMID 35566404
Identifiers
NCT: NCT06969339 · Posterior wedge closing