Hemivertebra
Conditions
Keywords
Vertebral Malformation, Hemivertebra, Surgical resection, SOFOP
Brief summary
The treatment of child's vertebral malformations has evolved a lot including the realization of surgical vertebral resections. The surgical techniques used are multiple, require heavy surgery, one or more approaches and surgical time, transfusions, a neurological risk (up to 20% in some series, risk of non-consolidation, insufficient correction). These surgical techniques deserve an evaluation of the early complications and the skeletal maturity of these children (maintenance of the surgical correction, evolution of the associated curvatures).
Detailed description
The treatment of child's vertebral malformations has evolved a lot including the realization of surgical vertebral resections. The surgical techniques used are multiple, require heavy surgery, one or more approaches and surgical time, transfusions, a neurological risk (up to 20% in some series, risk of non-consolidation, insufficient correction). These surgical techniques deserve an evaluation of the early complications and the skeletal maturity of these children (maintenance of the surgical correction, evolution of the associated curvatures).
Interventions
PROCEDURESurgical resection
Surgical resection of hemivertebra
Sponsors
University Hospital, Tours
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Child from 3 to 10 years old * with a vertebral malformation requiring surgery for hemivertebras
Exclusion criteria
* Child previously operated on the spine * Different procedure of a surgical resection of vertebral malformation * Absence of medical follow-up * Parents refusal concerning data storage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immediate effectiveness of surgery: Evolution of Cobb angle | From baseline to 6 months after surgery | Effectiveness of immediate correction : spinal deformities measured by the Cobb angle on radios face and profile |
| Appearances of complications | From baseline to 6 months after surgery | Appearances of complications (neurological, vascular, non consolidation) at 6 months. These complications will be gathered from hospitalization reports. |
| Late persistence of complications | From 6 months after surgery to 15 years | Persistent complications will be collected through clinical examination at follow-up visits. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long-term effectiveness of surgery: Evolution of Cobb angle | From 6 months after surgery to 15 years | Maintaining local correction with growth: spinal deformities measured by the Cobb angle on radios face and profile |
Countries
France
Contacts
CONTACTThierry ODENT, MD-PhD
STUDY_DIRECTORThierry ODENT, MD-PhD
University Hospttal, Tours
Outcome results
None listed