Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Congenital Kyphoscoliosis

Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Adolescent Neglected Congenital Kyphoscoliosis

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06969339

Enrollment

Registered

2025-05-13

Start date

2025-08-30

Completion date

2026-12-30

Last updated

2025-05-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unilateral Posterior Wedge Closing

Keywords

unilateral posterior wedge closing, neglected congenital kyphoscoliosis

Brief summary

A retrospective analysis of 12 adolescents undergoing unilateral posterior wedge closing VCR for neglected congenital kyphoscoliosis, assessing surgical outcomes over a mean 2.9-year follow-up.

Detailed description

Design: Single-center case series (Assiut University Hospital, 2015-2020). Intervention: Modified posterior VCR with unilateral convex wedge resection, spinal shortening, and instrumentation. Key Steps: Preoperative CT/MRI for anatomical planning. Posterior-only approach with pedicle screw instrumentation. Wedge resection focused on convex side, preserving concave continuity. Bone grafting (cancellous or mesh cage) post-correction. Follow-up: Radiographic and clinical assessments up to 2 years post-surgery.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

10 Years to 40 Years

Healthy volunteers

Inclusion criteria

Age \>10 years. Congenital kyphoscoliosis diagnosis. No prior spinal surgery. Preoperative CT/MRI and 24-month follow-up data.

Exclusion criteria

Idiopathic or neuromuscular scoliosis Previous spinal surgery Incomplete radiographic or follow-up data

Design outcomes

Primary

Measure	Time frame	Description
Cobb angle correction	Baseline, and 2-year follow-up.	Change in coronal deformity angle (pre-op to post-op and 2-year follow-up).

Secondary

Measure	Time frame	Description
Blood loss	Intraoperative	Intraoperative hemorrhage volume.

Outcome results