Cervical hemivertebrae: A literature review on the evolution of surgical management and its results
- Authors: Khusainov N.O.1, Kokushin D.N.1, Filippova A.N.1, Vissarionov S.V.1
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Issue: Vol 11, No 2 (2023)
- Pages: 219-226
- Section: Scientific reviews
- URL: https://bakhtiniada.ru/turner/article/view/264678
- DOI: https://doi.org/10.17816/PTORS321403
- ID: 264678
Cite item
Abstract
BACKGROUND: Congenital cervical spinal deformities due to hemivertebrae are rare and serious entities that are difficult to solve because of anatomical obstacles in the cervical region and the lack of treatment experience of such patients.
AIM: To analyze current literature dedicated to the surgical treatment of patients with congenital scoliotic deformities.
MATERIALS AND METHODS: We searched for studies evaluating the results and surgical management of patients with cervical hemivertebrae. The literature search was performed using keywords and similar articles in PubMed, Science Direct, and Google Scholar. The depth of the search was 50 years.
RESULTS: No studies have explored the issue of the surgical management of patients with congenital cervical scoliotic deformities because of the rarity and complexity of treatment. Still, data are sufficient to develop an efficient and safe algorithm.
CONCLUSIONS: Despite the complexity and lack of treatment experience in such patients, modern technologies for perioperative planning and surgical management allow for remarkable improvement of patients’ quality of life without serious complications.
Keywords
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##article.viewOnOriginalSite##About the authors
Nikita O. Khusainov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: nikita_husainov@mail.ru
ORCID iD: 0000-0003-3036-3796
SPIN-code: 8953-5229
Scopus Author ID: 57193274791
ResearcherId: AAM-4494-2020
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgDmitriy N. Kokushin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: partgerm@yandex.ru
ORCID iD: 0000-0002-2510-7213
SPIN-code: 9071-4853
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgAlexandra N. Filippova
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: alexandrjonok@mail.ru
ORCID iD: 0000-0001-9586-0668
SPIN-code: 2314-8794
MD, PhD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgSergei V. Vissarionov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
Scopus Author ID: 6504128319
ResearcherId: P-8596-2015
MD, PhD, Dr. Sci. (Med.), Professor, Corresponding Member of RAS
Russian Federation, Saint PetersburgReferences
- Samartzis D, Kalluri P, Herman J, et al. Cervical scoliosis in the Klippel-Feil patient. Spine. 2011;36(23):E1501–E1508. doi: 10.1097/brs.0b013e3182 3145e4
- Xue X, Shen J, Zhang J, et al. Klippel-Feil syndrome in congenital scoliosis. Spine. 2014;39(23):E1353–E1358. doi: 10.1097/BRS.0000000000000587
- Mesfin A, Bakhsh WR, Chuntarapas T, et al. Cervical scoliosis: clinical and radiographic outcomes. Glob Spine J. 2016;6(1):7–13. doi: 10.1055/s-0035-1554776
- Tsirikos AI, McMaster MJ. Goldenhar-associated conditions (hemifacial microsomia) and congenital deformities of the spine. Spine. 2006;31(13):E400–E407. doi: 10.1097/01.brs.0000219876.45640.2a
- Basu PS, Elsebaie H, Noordeen MH. Congenital spinal deformity: a comprehensive assessment at presentation. Spine. 2002;27(20):2255–2259. doi: 10.1097/00007632-200210150-00014
- Ballock RT, Song KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop. 1996;16(4):500–504. doi: 10.1097/00004694-199607000-00016
- Pizzutillo PD, Woods M, Nicholson L, et al. Risk factors in Klippel-Feil syndrome. Spine. 1994;19(8):2110–2116. doi: 10.1097/00007632-199409150-00020
- Marks DS, Qaimkhani SA. The natural history of congenital scoliosis and kyphosis. Spine. 2009;34:1751–1755. doi: 10.1097/brs.0b013e3181af1caf
- Canale ST, Griffin DW, Hubbard CN. Congenital muscular torticollis. A long-term follow-up. J Bone Joint Surg Am. 1982;64(6):810–816. doi: 10.2106/00004623-198264060-00002
- Deburge A, Briard JL. Cervical hemivertebra excision. J Bone Jt Surg Am. 1981;63(8):1335–1338. doi: 10.2106/00004623-198163080-00020
- Winter RB, House JH. Congenital cervical scoliosis with unilateral congenital nerve deficit in the upper extremity. Report of two cases. Spine. 1981;6(4):341–346. doi: 10.1097/00007632-198107000-00003
- Smith MD. Congenital scoliosis of the cervical or cervicothoracic spine. Orthop Clin N Am. 1994;25(2):301–310. doi: 10.1016/s0030-5898(20)31911-8
- Ruf M, Jensen R, Harms J. Hemivertebra resection in the cervical spine. Spine. 2005;30(4):380–385. doi: 10.1097/01.brs.0000153398.78661.2b
- Ruf M, Welk T, Merk HR, et. al. Resection of a hemivertebra within the craniocervical junction. Spine. 2015;40:E1191–E1194. doi: 10.1097/brs.0000000000001030
- Kapetanakis S, Gkasdaris G, Nastoulis E., et al. Hemivertebra of the cervical spine: an uncommon background for neck pain, cervical scoliosis, and torticollis. Clinical Case Reports. 2017;5(10):1718–1719. doi: 10.1002/ccr3.1144
- Aranha A., Choudhary A. C2 semisegmented hemivertebra – a rare anomaly presenting with torticollis. Br J Neurosurg. 2021:1–3. doi: 10.1080/02688697.2021.1876211
- Zhuang Q, Zhang J, Wang S, et al. Multiple cervical hemivertebra resection and staged thoracic pedicle subtraction osteotomy in the treatment of complicated congenital scoliosis. Eur Spine J. 2016;25(1):188–193. doi: 10.1007/s00586-015-4352-9
- Wang S, Li J, Lü G, et al. Cervical hemivertebra resection and torticollis correction: report on two cases and literature review. Eur Spine J. 2018;27(3):501–509. doi: 10.1007/s00586-018-5534-z
- Yu M, Diao Y, Sun Y, et al. Evaluation of a combined approach to the correction of congenital cervical or cervicothoracic scoliosis. Spine J. 2019;19:803–815. doi: 10.1016/j.spinee.2018.11.006
- Cao S, Chen X, Pan S, et al. Evaluation and comparation of a novel surgical technique and hemivertebra resection to the correction of congenital cervical scoliosis in lower cervical and cervicothoracic spine. Neurospine. 2022;19(4):1071–1083. doi: 10.14245/ns.2244554.277
- Liew SM, Simmons ED Jr. Cervical deformity: rationale for selecting the appropriate fusion technique (anterior, posterior, and 360 degree). Orthop Clin North Am. 1998;29:779–786.
- Vissarionov SV, Syundyukov AR, Kokushin DN, et al. A comparative analysis of the surgical treatment of preschool children with congenital spinal deformation and isolated hemivertebra from the combined and dorsal approaches. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2019;7(4):5–14. (In Russ.) doi: 10.17816/PTORS745-14
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