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

Assiut University

Status: Not yet enrolling

Conditions: Unilateral Posterior Wedge Closing

Study type: Observational

Funder types: Other

Identifiers

NCT06969339

Posterior wedge closing

Details and patient eligibility

About

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.

Full 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.

Enrollment: 15 estimated patients

Sex: All

Ages: 10 to 40 years old

Volunteers: No 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

Trial design

15 participants in 1 patient group

patients with untreated congenital kyphoscoliosis, no prior surgery

Description:

adolescent patients with untreated congenital kyphoscoliosis, no prior surgery, and complete imaging/follow-up data.