Efficacy and Risks of Posterior Vertebral Column Resection in the Treatment of Severe Pediatric Spinal Deformities: A Case Series

J. Clin. Med., 2025 · DOI: https://doi.org/10.3390/jcm14020374 · Published: January 9, 2025

Simple Explanation

Surgery for severe spinal curves aims to improve aesthetics, but these curves can also harm cardiopulmonary health and cause neurological issues. Severe curves need invasive treatments like posterior vertebral column resection (PVCR). PVCR involves removing vertebrae to realign the spine in complex cases. While effective, it's technically difficult and carries risks like blood loss and neurological complications. More studies are needed to understand its benefits and risks. This study reviews PVCR's effectiveness and risks through a case series at our institute.

Study Duration

2018-2023

Participants

7 pediatric patients

Evidence Level

Level 4, Case Series

Key Findings

1
PVCR resulted in an average reduction in the Cobb angle from 86.3◦ preoperatively to 22.4◦ postoperatively, with a mean correction of 64%.
2
The mean duration of the procedures was 337.4 min.
3
Five patients developed complications, including infections and temporary neurological deficits, which were successfully managed.

Research Summary

Posterior vertebral resection techniques offer significant promise in the correction of pediatric spinal deformities. Careful case-by-case evaluation is necessary, especially because of the associated high risk of morbidity. Long-term monitoring is needed to fully understand the impact of these procedures and to further refine surgical techniques.

Practical Implications

Surgical planning

PVCR should be considered for severe, rigid spinal deformities in pediatric patients after careful evaluation.

Postoperative Management

Intensive postoperative care is crucial to manage potential complications such as infections and neurological deficits.

Long-term Follow-up

Continued monitoring is necessary to assess the long-term effectiveness and potential complications of PVCR.

Efficacy and Risks of Posterior Vertebral Column Resection in the Treatment of Severe Pediatric Spinal Deformities: A Case Series

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical planning

Postoperative Management

Long-term Follow-up

Study Limitations

Your Feedback

Was this summary helpful?

Efficacy and Risks of Posterior Vertebral Column Resection in the Treatment of Severe Pediatric Spinal Deformities: A Case Series

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical planning

Postoperative Management

Long-term Follow-up

Study Limitations

Your Feedback

Was this summary helpful?