{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:10:54Z","timestamp":1785190254683,"version":"3.55.0"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To retrospectively analyze the feasibility and efficacy of posterior hemivertebra resection without internal fixation in the treatment of congenital scoliosis in very young children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixteen cases of very young children with congenital scoliosis treated at our hospital from April 2000 to July 2019 were collected, including 8 cases of each sex, all of whom had type I\/III congenital scoliosis and were operated on at a median (interquartile range) of 9.00 (7.75) months (range, 0.5\u201348 months) of age. All cases underwent posterior hemivertebra resection without internal fixation and wore orthopedic braces or plaster undershirts for more than six months after surgery, with a mean follow-up of 94.31\u2009\u00b1\u200965.63 months (range, 36\u2013222 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Coronal plane: the preoperative Cobb angle for the segmental curve was 39.50\u2009\u00b1\u20099.70\u00b0 compared to postoperative (19.19\u2009\u00b1\u20098.56\u00b0) and last follow-up (14.94\u2009\u00b1\u200912.11\u00b0) (both <jats:italic>P\u2009<\/jats:italic>&amp;lt;\u20090.01); the preoperative Cobb angle for the main curve was 34.19\u2009\u00b1\u200914.34\u00b0 compared to postoperative (17.00\u2009\u00b1\u200911.70\u00b0) and last follow-up (17.56\u2009\u00b1\u200916.31\u00b0) (both <jats:italic>P\u2009<\/jats:italic>&amp;lt;\u20090.01); the preoperative Cobb angle of the proximal compensated curve was 14.88\u2009\u00b1\u20099.62\u00b0 compared to postoperative (7.88\u2009\u00b1\u20094.66\u00b0) and last follow-up (8.38\u2009\u00b1\u20098.36\u00b0) (both <jats:italic>P\u2009<\/jats:italic>&amp;lt;\u20090.05); and the preoperative Cobb angle of the distal compensated curve was 13.50\u00b0 (10.50\u00b0) (range, 4\u00b0\u201330\u00b0) compared with postoperative 4.50\u00b0 (9.25\u00b0) (range, \u22123\u00b0 to 25\u00b0) and final follow-up 5.50\u00b0 (9.50\u00b0) (range, \u22123\u00b0 to 33\u00b0) (both <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01). Sagittal plane: the difference in the preoperative Cobb angle was 10.00\u00b0 (14.00\u00b0) (range, \u221231\u00b0 to 41\u00b0) for segmental kyphosis compared to postoperative 14.00\u00b0 (24.50\u00b0) (range, \u22126\u00b0 to 46\u00b0) and last follow-up 17.00\u00b0 (22.55\u00b0) (range,\u00a0\u221240\u00b0 to 56\u00b0), and these were not statistically significant (both <jats:italic>P\u2009<\/jats:italic>&amp;gt;\u20090.05). There was a tendency for the thoracolumbar kyphosis to worsen and the lumbosacral kyphosis to improve during the follow-up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Posterior hemivertebra resection without internal fixation is a feasible treatment for type I\/III congenital scoliosis in very young children, but the correction of the sagittal deformity of the thoracolumbar spine is not satisfactory, and postoperative external fixation may require further improvement.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.1018061","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T12:57:10Z","timestamp":1673009830000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Posterior hemivertebra resection without internal fixation in the treatment of congenital scoliosis in very young children"],"prefix":"10.3389","volume":"9","author":[{"given":"Bing","family":"Xia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongqian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingmei","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuyun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiming","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feipeng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengqun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/1748-7161-6-12","article-title":"Surgical and conservative treatment of patients with congenital scoliosis: \u03b1 search for long-term results","volume":"6","author":"Kaspiris","year":"2011","journal-title":"Scoliosis"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e21720","DOI":"10.1097\/MD.0000000000021720","article-title":"Clinical and radiological outcomes of hemivertebra resection for congenital scoliosis in children under age 10 years: more than 5-year follow-up","volume":"99","author":"Yang","year":"2020","journal-title":"Medicine"},{"key":"B3","doi-asserted-by":"publisher","first-page":"43","DOI":"10.2174\/1573396312666151117121011","article-title":"Congenital scoliosis (Mini-review)","volume":"12","author":"Weiss","year":"2016","journal-title":"Curr Pediatr Rev"},{"key":"B4","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1186\/s13018-020-02015-8","article-title":"Incidence of intraspinal abnormalities in congenital scoliosis: a systematic review and meta-analysis","volume":"15","author":"Wang","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"223","DOI":"10.2106\/00004623-197355020-00001","article-title":"Congenital kyphosis. 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