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

Not yet recruiting

• Conditions: Unilateral Posterior Wedge Closing

• Registration Number: NCT06969339
• Lead Sponsor: Assiut University

Brief Summary

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

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.

Study Timeline

• Status Verified: 2025-05
• Study First Submitted: 2025-05-02
• Study First Submitted QC: 2025-05-09
• Last Update Submitted: 2025-05-09
• Study First Posted: 2025-05-13
• Last Update Posted: 2025-05-13
• Study Start: 2025-08-30
• Primary Completion: 2026-10-30
• Study Completion: 2026-12-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 15

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Cobb angle correction	Baseline, and 2-year follow-up.	Change in coronal deformity angle (pre-op to post-op and 2-year follow-up).

Secondary Outcome Measures

Name	Time	Method
Blood loss	Intraoperative	Intraoperative hemorrhage volume.