Hemivertebra deformity

　　The etiology of the disease is not yet clear. Due to the varying degrees and locations of hemivertebra deformity, various clinical symptoms may occur, including cervical vertebral appearance deformity and limited cervical motion. Other symptoms may include spinal cord and nerve symptoms, including pyramidal tract signs and motor disorders, limb numbness, and urinary and fecal incontinence.

　　In addition to general symptoms, it can also cause other diseases. This condition can be complicated by scoliosis, kyphosis deformity, and severe deformities may lead to cardiac and pulmonary insufficiency. Therefore, once diagnosed, active treatment is required, and preventive measures should also be taken in daily life.

　　Firstly, clinical characteristics: depending on the location of the deformity and defect, the following spinal deformities can be caused:

　　1, Scoliosis:It is caused by single or multiple hemivertebra malformations.

　　2, Kyphosis deformity:It is seen in patients with posterior hemivertebra malformation.

　　3, Scoliosis and rotational deformity:For those with severe lateral curvature, if the upper part of the body is unbalanced in gravity during development, a lateral curvature with marked rotation may gradually form during the development process, accompanied by deformation of the chest wall and other signs. Hemivertebra malformation combined with posterior hemivertebra malformation is also prone to occur.

　　4, Height growth restriction:The impact of multiple occurrences is greater.

　　Secondly, classification: Nasca once classified vertebral malformation into the following six types:

　　1, Simple residual hemivertebra:It means that a circular or oval bone piece remains between adjacent vertebral segments, which is easy to fuse with adjacent vertebrae.

　　2, Simple wedge-shaped hemivertebra:It refers to the appearance of wedge-shaped vertebrae on the X-ray film.

　　3, Multiple hemivertebrae:It refers to those with multiple occurrences.

　　4, Multiple hemivertebrae combined with unilateral fusion:It is more common in the thoracic vertebrae.

　　5, Balanced hemivertebra:It means that 2 or more segments are malformed and symmetrically on both sides, so that the deformities cancel each other out, and in addition to shortening of the trunk, it does not cause a marked lateral curvature in appearance.

　　6, Posterior hemivertebra:The posterior vertebral body ossification center develops while the central ossification center does not, resulting in a wedge-shaped deformity of the vertebral body when viewed from the side.

　　There is currently no effective preventive measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of the disease. The patient's diet should be light and easy to digest, with an emphasis on eating more vegetables and fruits, and a reasonable diet. In addition, patients need to pay attention to avoid spicy, greasy, and cold foods.

　　X-ray examination can show malformed vertebrae, and CT or MRI examination can be performed if necessary. Magnetic resonance imaging (MRI) has been applied to imaging diagnosis of all systems in the body. The best effect is on the brain, as well as its spinal cord, great vessels of the heart, joints and bones, soft tissues, and pelvis. For cardiovascular diseases, not only can the anatomical changes of various cavities, great vessels, and valves be observed, but also ventricular analysis can be performed for qualitative and semi-quantitative diagnosis. It can produce multiple cross-sectional images with high spatial resolution, showing the full picture of the heart and lesions, as well as their relationship with surrounding structures, which is superior to other X-ray imaging, two-dimensional ultrasound, radionuclide, and CT examinations. In the diagnosis of brain and spinal cord lesions, coronal, sagittal, and transverse images can be produced.

　　A balanced diet should include foods rich in antioxidants such as mangoes, papayas, melons, grapes, oranges, pineapples, bananas, strawberries, tomatoes, cabbage, potatoes, etc., which are rich in vitamins. Bioflavonoids can prevent the destruction of free radicals, reduce inflammatory reactions, accelerate the recovery of sports injuries, and strengthen the formation of cartilage. It is forbidden to eat cold and raw foods, and it is recommended to eat more nutritious foods such as beef, mutton, and chicken. It is also possible to cook herbs such as Astragalus, prepared Rehmannia, Angelica sinensis, and Chinese wolfberry with meat and other foods as food therapy (eating meat and drinking soup) and so on.

　　Diet should be controlled, maintain an appropriate weight, and avoid obesity. Search for health products. Breakline Traditional Chinese Medicine Treatment Methods for Hemivertebra Deformity.

　　First, Acupuncture Treatment:

　　Acupuncture points: Dachuzhu, Fengchi, Xuanzhong, Yanglingquan, Zusanli, local lumbar spine points. Use filiform needles, adopt the reinforcing method, once a day. Select 4 points each time, retain the needle for 30 minutes, stimulate the needle every 10 minutes, use alternating sides, and add moxibustion with moxa sticks after lumbar spine points are needled, with local redness as the standard. 10 sessions make up a course, rest for 5 days between courses, in the second course, acupuncture and moxibustion once every other day, the method of acupuncture and moxibustion is the same as above. In the third course, use the suture method, local anesthesia with lidocaine, suture 1-1.5 cm into each point, the needles at Fengchi, Dachuzhu, and lumbar spine points should not be inserted too deeply, Fengchi should be inserted towards the tip of the nose, Dachuzhu and lumbar spine points should be inserted towards the spine. After the operation, cover with a bandage, do not take a bath within 7 days to prevent infection, treat once every 10 days, and gradually increase to once every 15-30 days, continuous treatment for 1 year.

　　Second, Western Treatment Methods for Hemivertebra Deformity

　　According to the characteristics of the deformity and the degree of spinal developmental abnormality it causes, appropriate treatment measures can be adopted.

　　1. Surgical treatment:

　　(1) Severe scoliotic deformity (with or without rotation) should be treated surgically according to the principles of scoliosis.

　　(2) Severe kyphotic deformity that has taken shape and affects basic living can be treated with osteotomy.

　　(3) To avoid or slow down the occurrence and development of spinal deformity in adolescent cases, bone graft fusion surgery can be performed on the convex side of the spine for 1 to several segments in advance to stop the growth of this segment. However, to avoid overcorrection, it is not advisable to fuse too much at the beginning, and close observation is required.

　　2. Other treatments:

　　(1) Mildly deformed individuals can be supplemented with braces and strengthen back muscle exercises.

　　(2) Pay attention to the prevention and treatment of various complications, especially in severe cases of spinal deformity, which are often accompanied by incomplete cardiovascular and pulmonary function, and comprehensive treatment should be adopted.