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.
Abstract

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