L5 hemivertebra resection and T12-S1 fusion in a 14-year-old female with a 36-year follow-up

Case report. To demonstrate a 36-year follow-up of a rare operation. There have been no reports of follow-up of pediatric hemivertebra excision and fusion into midadult life. A chart and radiological review at 36 years after surgery. The patient is alive and well and leading a normal life. Her Oswestry Disability Index is 0. Mild degenerative radiological signs are evident at the adjacent level above (T10-T12) and below (sacroiliac joints). Early excision of the L5 hemivertebra would have been preferable, but the long-term results are good.