{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T07:03:59Z","timestamp":1776755039046,"version":"3.51.2"},"reference-count":22,"publisher":"The Korean Spinal Neurosurgery Society","issue":"4","license":[{"start":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T00:00:00Z","timestamp":1668729600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Clinical Characteristics in Beijing","award":["Z161100000516004"],"award-info":[{"award-number":["Z161100000516004"]}]}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["Neurospine"],"published-print":{"date-parts":[[2022,12,31]]},"abstract":"<jats:p>Objective: To report concave-side distraction technique to treat congenital cervical scoliosis in lower cervical and cervicothoracic spine. To evaluate and compare clinical and radiographic results of this procedure with classic hemivertebra resection procedure.Methods: This study reviewed 29 patients in last 13 years. These patients were divided into convex-side resection group (group R) and concave-side distraction group (group D). Radiographic assessment was based on parameter changes preoperatively, postoperatively and at last follow-up. Demographic data, surgical data and complications were also evaluated and compared between the 2 groups.Results: In group R, mean age was 8.9 \u00b1 3.3 years and follow-up was 46 \u00b1 18 months. Operation time and blood loss averaged 500 \u00b1 100 minutes, 703 \u00b1 367 mL. In group D, mean age was 9.9 \u00b1 2.8 years and follow-up was 34 \u00b1 14 months. Operation time and blood loss averaged 501 \u00b1 112 minutes, 374 \u00b1 181 mL. Structural Cobb angle was corrected from 29.4\u00b0 \u00b1 12.5\u00b0 to 5.3\u00b0 (2.1\u00b0\u201318.1\u00b0) (p = 0.001) and 33.7\u00b0 \u00b1 14.1\u00b0 to 12.8\u00b0 \u00b1 11.4\u00b0 (p &lt; 0.001) in groups R and D. Compensatory Cobb angle had a spontaneous correction rate of 59.6% (40.0%\u201380.8%) and 59.7% \u00b1 23.0% in groups R and D. Mandibular incline, clavicle angle and spine coronal balance were significantly improved at last follow-up in both groups. All correction rates were not statistically different between groups. However, group D had significant less blood loss (p &lt; 0.001) and operation time (p = 0.004) per vertebra than group R. Seven patients developed C5 nerve root palsy and recovered by 6 months of follow-up.Conclusion: Both surgical procedures are safe and effective in correcting congenital cervical scoliosis. But concave-side distraction technique has less blood loss and time-consuming during surgery, which provides a better option for the treatment of congenital cervical scoliosis.<\/jats:p>","DOI":"10.14245\/ns.2244554.277","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T16:25:41Z","timestamp":1668702341000},"page":"1071-1083","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Evaluation and Comparation of a Novel Surgical Technique and Hemivertebra Resection to the Correction of Congenital Cervical Scoliosis in Lower Cervical and Cervicothoracic 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