Congenital Deformities: Treatment Complications of Scoliosis

Mehmet Ali TALMAÇa , Necmi CAMa

aUniversity of Health Sciences İstanbul Şişli Hamidiye Etfal Training and Research Hospital, Department of Orthopedics and Traumatology, İstanbul, Türkiye

ABSTRACT
Congenital scoliosis is a complex vertebral deformity that occurs in every 1,000 live births. The most common cause is the hemivertebra. Treatment options are susceptible to complications due to the progressive nature of the disease. The most common complications are pseudoarthrosis, proximal junctional kyphosis, and adding-on phenomenon. Early diagnosis of complications facilitates treatment. When dealing with these complications, the patient’s growth potential should be taken into account. It is important not always to make a decision according to radiological findings. The patient’s complaints must keep in the forefront. Instruments that end up in mechanical stress zones, pre-operative high coronary angular scoliosis, improper pedicle screwing, multiple osteotomy zones, and not-completely excised hemivertebra are factors that increase the risk of complications. Level extension, bone grafting with pseudoarthrosis excision, residual hemivertebral excision, and partial or total revision instrumentation are the methods used to deal with complications.
Keywords: Scoliosis; congenital abnormalities; postoperative complications; treatment

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