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Published on: February 28, 2021
Hemivertebrae: a comprehensive review of embryology, imaging, classification, and management
Jaspreet Johal1,2, Marios Loukas3, Christian Fisahn4
1Department of Anatomical Sciences, St. George's University, True Blue, St. George's, Grenada. jas.johal101@gmail.com.
Insights
Hemivertebrae are incomplete vertebral segments causing congenital scoliosis and other anomalies. Understanding their classification, etiology, and management is crucial for effective clinical treatment.
Area of Science:
- Developmental biology
- Orthopedic surgery
- Pediatric spine anomalies
Background:
- Hemivertebrae represent a significant cause of congenital scoliosis.
- These anomalies can be associated with various other structural abnormalities, complicating patient presentation.
- Understanding the embryological basis is key to addressing this condition.
Purpose of the Study:
- To provide a comprehensive review of hemivertebrae.
- To cover classification, embryology, etiology, diagnosis, clinical manifestations, and management.
- To serve as a clinical resource for healthcare providers.
Main Methods:
- Systematic literature review.
- Utilized PubMed and other standard search engines for comprehensive data retrieval.
- Synthesis of available research on hemivertebrae.
Main Results:
- Hemivertebrae are incomplete vertebral segments.
- They can lead to congenital scoliosis and other structural anomalies.
- Clinical presentation and treatment vary based on location and classification.
Conclusions:
- Hemivertebrae are vertebral structural anomalies that can disrupt spinal curvature.
- Clinical impact is influenced by segmentation degree and co-occurring anomalies.
- This review aims to enhance clinician understanding and management of hemivertebrae.
Purpose:
The purpose of this paper was to comprehensively review hemivertebrae in regard to their classification, embryology, etiology, diagnosis, clinical manifestations, and management of this developmental anomaly.
Methods:
This subject review of hemivertebrae was composed after conducting a thorough review of the available literature on this topic using PubMed and other standard search engines.
Results:
Hemivertebrae are incomplete vertebral column segments that can result in congenital scoliosis and be associated with a range of other structural anomalies. Presentations may differ and based on location and classification, treatments may vary.
Conclusion:
Hemivertebrae are structural anomalies of the vertebral column that can potentially disrupt the spine's normal curvature. Their clinical impact depends on factors such as degree of segmentation and concurrence with other structural anomalies. It is hoped that this review will provide the clinician who treats patients with hemivertebrae a resource in better understanding this finding and its subsequent pathological effects.
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