Case 4 – Spine Scoliotic Deformity With Hemivertebrae Case

• Age/Sex: 20 year old female
  
• Main Complaints: Visible spinal deformity (bent spine), uneven shoulders, tilted posture, and mild back discomfort.

Lumbar Scoliosis

• An abnormal sideways curve in the lower spine (lumbar region).
• In this case, the spine is significantly off-center, creating a visible body imbalance.

L4 Hemivertebra

• A congenital condition where one side of a spinal bone (L4) failed to develop fully, creating a wedge-like shape.
• This acts like a “structural wedge,” forcing the spine to curve and rotate abnormally as the body grows.

It’s a key cause of progressive scoliosis in young patients.

• Clear scoliosis curve marked in yellow.
• The red line (normal spinal axis) shows how far the spine has shifted sideways.

• The patient’s shoulder is tilted.
• Her body leans to one side due to the spinal imbalance.
• The yellow lines show how the spine is bending and causing the lower body to compensate.

• The spine is now aligned closer to the red line (straight axis).
• Titanium rods and screws are in place to hold the spine straight.
• The abnormal L4 hemivertebra has been excised (surgically removed), and the spine was stabilized.

Procedure:
Scoliotic Deformity Correction
Hemivertebra Excision at L4

Surgical Steps:

• Hemivertebra Excision:To rectify the curve’s source, a wedge-shaped half-vertebra (L4) was carefully removed.
• Spinal Realignment: The remaining spinal bones were adjusted and realigned.
• Instrumentation & Fusion: Screws and rods were used to rectify the spine’s posture and provide long-term stability.

• Patient started walking within a few days post-surgery.
• Physiotherapy was initiated to improve posture and muscle strength.
• Regular follow-ups are needed to monitor bone healing and spinal growth.

• Following surgery, there was a significant improvement in both cosmetic and structural aspects.
• Prevents future curve progression and avoids long-term complications like back pain, lung compression, or posture issues.
• Increased confidence and improved quality of life for the patient, both functionally and aesthetically.

A 20 year old girl had a bent spine due to a half-formed bone in her lower back. This made her body lean to one side. Dr. Sanyam Jain performed a successful surgery to remove that abnormal bone and straighten the spine using metal rods and screws. Now, her spine is straight, and she’s walking confidently again.

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