Convex growth arrest for progressive congenital scoliosis due to hemivertebrae

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Winter RB. Lonstein JE. Denis F. Sta-Ana de la Rosa H. Journal of Pediatric Orthopedics. [JC:hsw] 8(6):633-8, 1988 Nov-Dec. Thirteen patients with progressive congenital scoliosis due to hemivertebrae or hemivertebrae associated with other spinal anomalies were treated by convex anterior and posterior hemiarthrodesis and hemiepiphysiodesis. The average curve prior to operation was 46 degrees, average age was 3 years 6 months, and average followup was 6 years 6 months. One patient failed because of an inadequate length of anterior surgery which was successfully salvaged by further surgery. Twelve patients were successes: Seven had only cessation of the progressive curve, and five had progressive curve improvement greater than or equal to 5 degrees due to the arrested convex and persistent concave growth. This procedure is a valuable treatment modality for selected patients with congenital scoliosis.