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Hemi-Vertebrae Resection

Patient History: 29-year-old male with back pain and right buttock/leg pain. He also experienced right foot numbness. His imaging revealed a congenital anomaly of the low back bone formation. The patient had what is known medically as a hemivertebra. This caused a portion of his spine to grow faster than its counterpart that created an imbalance of his lower spine.

Surgery: Patient underwent L3 hemi-vertebrae resection with T11-S1 posterior scoliosis correction, spinal fusion and instrumentation using pedicle screws and rods. Additionally, a nerve decompression at L5-S1 was performed for his leg pain.

Fig.1 PA View

Fig.1 Frontal View Xray Showing Lumbar Curve

Fig.3 Coronal View Lumbar Bone over growth Lumbar 3 Vertebra

Fig.2 Frontal View Showing (Coronal Plane) CT Scan Lumbar Bone over growth Lumbar 3 Vertebra

Fig.2 Lateral View

Fig.3 Side View Xray Showing Lumbar Spine

Hemi-Vertebrae Resection

Fig.4 Side View Showing (Sagittal Plane) CT Scan Lumbar Vertebrae 3

Fig.1 PA View

Fig.1 Frontal View Xray Showing (Pre-Op) Lumbar Spine Curve

Fig.1 PA View Corrected

Fig.2 Frontal View Xray Showing Corrected Lumbar Spine

Fig.2 Lateral View

Fig.3 Side View Xray Showing (Pre-Op) Lumbar Spine

Fig.2 Lateral View Corrected

Fig.4 Side View Xray Showing Corrected Lumbar Spine

Outcome: Patient did well with surgery. There were no hospital complications. He was discharged 4 days after surgery. The patient has mild sacroiliac joint pain intermittently.