Assessment and Follow-up of Surgical Treatment of Hemivertebra in Children

ConditionHemivertebra
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age3-10
SponsorUniversity Hospital, Tours

About this trial

The treatment of child's vertebral malformations has evolved a lot including the realization of surgical vertebral resections. The surgical techniques used are multiple, require heavy surgery, one or more approaches and surgical time, transfusions, a neurological risk (up to 20% in some series, risk of non-consolidation, insufficient correction). These surgical techniques deserve an evaluation of the early complications and the skeletal maturity of these children (maintenance of the surgical correction, evolution of the associated curvatures).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Child from 3 to 10 years old

with a vertebral malformation requiring surgery for hemivertebras

Disqualifiers

Child previously operated on the spine

Different procedure of a surgical resection of vertebral malformation

Absence of medical follow-up

Parents refusal concerning data storage

Trial population

children from 3 to 10 years old with vertebral malformation requiring surgery for hemivertebra

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Surgical resection

    Procedure/Surgery

    Surgical resection of hemivertebra

Treatment groups

150 Participants
are divided into 1 treatment group
Group A: Surgical treatment of hemivertebra1 intervention

Trial outcomes

Primary outcomes

1

Immediate effectiveness of surgery: Evolution of Cobb angle

Effectiveness of immediate correction : spinal deformities measured by the Cobb angle on radios face and profile

Time frame
From baseline to 6 months after surgery
2

Appearances of complications

Appearances of complications (neurological, vascular, non consolidation) at 6 months. These complications will be gathered from hospitalization reports.

Time frame
From baseline to 6 months after surgery
3

Late persistence of complications

Persistent complications will be collected through clinical examination at follow-up visits.

Time frame
From 6 months after surgery to 15 years

Secondary outcomes

1

Long-term effectiveness of surgery: Evolution of Cobb angle

Maintaining local correction with growth: spinal deformities measured by the Cobb angle on radios face and profile

Time frame
From 6 months after surgery to 15 years

Other outcomes

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