{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:39:13Z","timestamp":1791315553289,"version":"4.3.1"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,28]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>There are no established guidelines regarding the surgical strategy to be adopted in congenital scoliosis with multiple hemivertebrae\u2014decision has to be guided taking into account the contribution of each hemivertebra to the deformity and its growth potential. We describe a case of a 12-year-old woman with congenital scoliosis due to unbalanced multiple hemivertebrae. Preoperative imaging revealed the presence of three hemivertebrae\u2014at D7, D10 and L5. Our surgical strategy was guided by various factors\u2014the morphology of the hemivertebrae, the location, the contribution of each hemivertebra to the deformity and their relationship to each other. Based on this, we performed a selective hemivertebrae resection\u2014completely resecting L5 hemivertebra and performing \u2018egg-shell\u2019 decancellation of D7 hemivertebra and in situ fusion of D10 hemivertebra, yielding satisfactory results. This case report illustrates a rational thought process that can guide a paediatric spinal deformity surgeon in treating scoliosis with multiple hemivertebrae.<\/jats:p>","DOI":"10.1136\/bcr-2020-240355","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T11:56:41Z","timestamp":1615377401000},"page":"e240355","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Selective hemivertebrae resection in congenital scoliosis with multiple hemivertebrae"],"prefix":"10.1136","volume":"14","author":[{"given":"Bhavuk","family":"Garg","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-3843","authenticated-orcid":false,"given":"Nishank","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,10]]},"reference":[{"key":"2025082722434019000_14.3.e240355.1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1159\/000082435","article-title":"Hemivertebra: prenatal diagnosis, incidence and characteristics","volume":"20","author":"Goldstein","year":"2005","journal-title":"Fetal Diagn Ther"},{"key":"2025082722434019000_14.3.e240355.2","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.1007\/s00381-016-3195-y","article-title":"Hemivertebrae: a comprehensive review of embryology, imaging, classification, and management","volume":"32","author":"Johal","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"2025082722434019000_14.3.e240355.3","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1302\/0301-620X.68B4.3733836","article-title":"Hemivertebra as a cause of scoliosis. A study of 104 patients","volume":"68-B","author":"McMaster","year":"1986","journal-title":"J Bone Joint Surg Br"},{"key":"2025082722434019000_14.3.e240355.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000084627.57308.4A"},{"key":"2025082722434019000_14.3.e240355.5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00003086-198504000-00019","article-title":"Vertebral osteotomy for correction of kyphosis in ankylosing spondylitis","volume":"&NA","author":"Thomasen","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"2025082722434019000_14.3.e240355.6","doi-asserted-by":"crossref","first-page":"456","DOI":"10.2106\/00004623-197557040-00003","article-title":"Progression of congenital scoliosis due to hemivertebrae and hemivertebrae with bars","volume":"57","author":"Nasca","year":"1975","journal-title":"J Bone Joint Surg Am"},{"key":"2025082722434019000_14.3.e240355.7","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s00586-013-3065-1","article-title":"Hemivertebrae resection for unbalanced multiple hemivertebrae: is it worth it?","volume":"23","author":"Zhou","year":"2014","journal-title":"Eur Spine J"},{"key":"2025082722434019000_14.3.e240355.8","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1007\/s00586-017-4960-7","article-title":"Selective hemivertebrae resection in a congenital scoliosis patient with multiple hemivertebrae deformities","volume":"26","author":"Zhang","year":"2017","journal-title":"Eur Spine J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:43:49Z","timestamp":1756359829000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,10]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-240355"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240355","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}