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. 2017 Jan 24:7:41229.
doi: 10.1038/srep41229.

Safety and Efficacy of Single-Stage Surgical Treatment for Congenital Scoliosis Associated with Intraspinal Mass

Bo-Bo Zhang  1 , Hui-Ren Tao  2 , Tai-Lin Wu  1 , Lin Wang  2 , Chun-Guang Duan  2 , Tao Zhang  3 , Tao Li  2 , Wei-Zhou Yang  2 , Ming Liu  1 , Jun Ma  1
Affiliations

Safety and Efficacy of Single-Stage Surgical Treatment for Congenital Scoliosis Associated with Intraspinal Mass

Bo-Bo Zhang et al. Sci Rep. .

Abstract

For congenital scoliosis associated with intraspinal anomaly, surgical treatment is often advocated. However, the safety and efficacy of single-stage intraspinal mass resection and scoliosis correction remain unclear. The purpose of this study was to retrospectively evaluate the feasibility and risk factors of single-stage surgical treatment for congenital scoliosis associated with intraspinal mass. Patients' clinical records were reviewed for demographic and radiographic data, operating time, intraoperative blood loss, perioperative complications, and postoperative pathologic results. Two female and 5 male patients with an average age of 19.14 ± 7.52 years (range, 11-31 years) were evaluated. Patients were followed for a minimum of 24 months after initial surgical treatment, with an average of 49.71 ± 32.90 months (range, 27-99 months). Spinal curvature was corrected from an average of 69.57 ± 20.44° to 29.14 ± 9.87°, demonstrating a mean correction rate of 55.05% ± 18.75%. No obvious loss of correction was observed at the final follow-up. Complications included transient neurologic deficit, cerebrospinal fluid leakage, and intraspinal mass recurrence in 1 patient each. There was no paralysis or permanent nerve damage. In conclusion, simultaneous intraspinal mass resection and scoliosis correction appears to be safe and effective.

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Figures

Figure 1
Figure 1. Images of an 11-year-old boy with congenital scoliosis associated with intraspinal mass.
The patient underwent single-stage intraspinal mass resection and scoliosis correction. He experienced transient neurologic deficit postoperatively, but recovered to normal 6 months later. (a,b) Preoperative radiographs, demonstrating a left curve of 85° and kyphosis of 66°. (c,d) Postoperative radiographs, demonstrating a left curve of 18° and kyphosis of 36°. (e,f) Final follow-up radiographs, demonstrating a left curve of 26° and kyphosis of 42°. (g,h) Magnetic resonance images, demonstrating an intraspinal mass at T2–7.
See this image and copyright information in PMC

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