Vertebral resection

Abstract

Early-onset scoliosis (EOS) in very young children is likely to progress, due to the rapid growth in the first years of life. A deformed section of the spine not only affects the development of the remaining healthy spine but also that of the chest wall, lungs, pulmonary functions, gastrointestinal system, extremities and body balance. Surgical intervention is often unavoidable and indication for surgery should be considered as soon as possible. In severe cases, vertebral column resection (VCR) represents an effective surgical solution to address such problems. The required correction is achieved by an osteotomy of the spinal column and the removal of the deformed area of the spine. The procedure is typically performed using a posterior-only approach; only rarely will an anterior or combined approach be required. Immediate stability is achieved by the application of posterior segmental spinal instrumentation using pedicle screw fixation, in conjunction with anterior column support, for which a cage or structural strut graft can be used if necessary.