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Abstract Abstract: Background: Congenital scoliosis is a coronal plane deformity of the spine due to anomalies developing at the intrauterine period. Hemivertebra resection can be done via combined anterior and posterior or posterior only surgery. With the development of the pedicle screws technique, hemivertebra resection can be performed successfully with only a posterior approach using a one-stage procedure. This can be performed with an excellent outcome Purpose: Evaluate the results of posterior only resection of hemivertebrae in congenital spinal deformities. Methods: prospective case series study conducted on 20 patients from January 2016 to January 2018. The mean age of the study group was 13.6 years (range 4-25) with 13 males (65%) and 7 females (35%).The following outcome measures were used at postoperative follow up: Radiological; coronal Cobb angle, regional sagittal alignment and local kyphosis Cobb angles while functional assessment were done by Visual Analogue Scale (VAS). Results: Successful hemivertebra resection via posterior only approach was achieved in all cases, with significant clinical and radiological improvement of preoperative pain score ranged between 2-8 with a mean of 6.7 while the 12 month-postoperative pain score ranged between 1-2 with a mean of 1.6. Conclusions: posterior only approach in hemivertebra resection is a safe and effective procedure with satisfactory post-operative functional outcome based on a short-term follow-up and faster rehabilitation program. |