Departments of Orthopaedic Surgery and Neurosurgery, Shriners Hospitals for Children-Philadelphia, Philadelphia, PA.
J Pediatr Orthop. 2021 Mar 1;41(3):e211-e216. doi: 10.1097/BPO.0000000000001718.
Congenital cervical scoliosis is rare, and there is a paucity of literature describing surgical outcomes. We report surgical outcomes in a 17-patient cohort with surgical correction for congenital cervical scoliosis and identify risk factors associated with complications.
Data were retrospectively collected from a single-center cohort of 17 consecutive patients (9 boys, 8 girls) receiving surgical deformity correction for congenital cervical scoliosis. The mean age at surgery was 7.1±3.4 years with an average follow-up of 3.6±1.1 years.
There were 24 operations performed on 17 patients, and 4 complications (17%) were reported in the series, including one each of pressure ulcer, asystole, vertebral artery injury, and pseudarthrosis. The mean preoperative major curve angle was 36±20 degrees, which improved to 24±14 degrees (P=0.02). The mean operative time was 8±2 hours with a mean estimated blood loss of 298±690 mL. Halo-gravity traction was used in 5 patients and 6 cases were staged with anterior/posterior procedures.
Congenital scoliosis of the cervical spine is a complex process. The spinal deformity of this nature can be managed successfully with carefully planned and executed surgical correction.
Level IV-retrospective review.
先天性颈椎侧凸较为罕见，相关的手术治疗结果文献也较少。我们报告了 17 例先天性颈椎侧凸患者的手术治疗结果，并确定了与并发症相关的危险因素。
我们回顾性地收集了单中心 17 例连续先天性颈椎侧凸患者的资料，这些患者均接受了手术矫正。患者的平均手术年龄为 7.1±3.4 岁，平均随访时间为 3.6±1.1 年。
17 例患者共进行了 24 次手术，该系列中报告了 4 例并发症（17%），包括 1 例压疮、1 例心搏骤停、1 例椎动脉损伤和 1 例假关节。术前主弯平均角度为 36±20 度，术后改善至 24±14 度（P=0.02）。平均手术时间为 8±2 小时，平均估计失血量为 298±690 毫升。5 例患者采用了 halo-gravity 牵引，6 例患者采用了前后分期手术。
先天性颈椎脊柱侧凸是一个复杂的过程。通过精心计划和执行手术矫正，可以成功治疗这种性质的脊柱畸形。
IV 级——回顾性研究。
