Unilateral Posterior Wedge Closing Vertebral Column Resection for Treatment of Congenital Kyphoscoliosis

NCT ID: NCT06969339

Last Updated: 2025-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-08-30

Study Completion Date

2026-12-30

Brief Summary

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A retrospective analysis of 12 adolescents undergoing unilateral posterior wedge closing VCR for neglected congenital kyphoscoliosis, assessing surgical outcomes over a mean 2.9-year follow-up.

Detailed Description

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Design: Single-center case series (Assiut University Hospital, 2015-2020).

Intervention: Modified posterior VCR with unilateral convex wedge resection, spinal shortening, and instrumentation.

Key Steps:

Preoperative CT/MRI for anatomical planning.

Posterior-only approach with pedicle screw instrumentation.

Wedge resection focused on convex side, preserving concave continuity.

Bone grafting (cancellous or mesh cage) post-correction.

Follow-up: Radiographic and clinical assessments up to 2 years post-surgery.

Conditions

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Unilateral Posterior Wedge Closing

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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patients with untreated congenital kyphoscoliosis, no prior surgery

adolescent patients with untreated congenital kyphoscoliosis, no prior surgery, and complete imaging/follow-up data.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Age \>10 years.

Congenital kyphoscoliosis diagnosis.

No prior spinal surgery.

Preoperative CT/MRI and 24-month follow-up data.

Exclusion Criteria

Idiopathic or neuromuscular scoliosis

Previous spinal surgery

Incomplete radiographic or follow-up data
Minimum Eligible Age

10 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Ebram Eissa Moussa

resident at the Orthopaedic and Trauma Surgery department

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine (Phila Pa 1976). 2002 Nov 1;27(21):2374-82. doi: 10.1097/00007632-200211010-00012.

Reference Type BACKGROUND
PMID: 12438987 (View on PubMed)

Yang JH, Kim HJ, Chang DG, Suh SW, Nam Y, Hong JY. The Efficacy of Single-Stage Correction by Posterior Approach for Neglected Congenital Scoliosis: Comparative Analysis According to the Age of Surgical Intervention. J Clin Med. 2022 Apr 19;11(9):2278. doi: 10.3390/jcm11092278.

Reference Type BACKGROUND
PMID: 35566404 (View on PubMed)

Other Identifiers

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Posterior wedge closing

Identifier Type: -

Identifier Source: org_study_id

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