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Query about hemivertebra in fetal scan - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   how can i help you
User :   hello
User :   my query is reagrding a ultrasound scan done for my unboen baby
Doctor :   please go ahead with ur medical problems
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   My age is 27. height - 5.3 , weight is 85
User :   reports say my baby has some issues
User :   Please explain the below reports which came for my baby,
Hemivertebra in lumbar region
thoracic circumference is 2.5% percentile short
Long bones are 5th% percentile short
Doctor :   ok
Doctor :   when was the scan done
Doctor :   why was the scan suggest
User :   wud like to know , hemivertebra is a major issue or curable issue for my baby
Doctor :   did the doctor review the reports
Doctor :   how many weeks pregnant is ur wife
User :   29 weeks and intially it started with femur length being on shorter side
Doctor :   A hemivertebra is a congenital malformation of the spine in which only half of a vertebral body develops
Doctor :   condition where there is abnormal bony development of one or more of the vertebrae
User :   so is it very major issue
User :   that will affect the baby growth and is there will be any health issues
Doctor :   so did u meet discuss with the gynecologist with the report
Doctor :   did u people discuss when u met the gynecologist?
Doctor :   YYYY@YYYY Mobile : 0000
Doctor :   confirm with correct contact details
User :   yes but they cant diagnose whether my baby will be alright or not
User :   yes those are correct details
Doctor :   Isolated hemivertebra carries good prognosis
Doctor :   prognosis depends on the associated anomalies
Doctor :   which we cannot predict as of now
User :   alright . is there is any chance that this hemivertebra vanishing in next scan
Doctor :   one cannot predict the outcome now
Doctor :   unlikely
Doctor :   Hemivertebra, a condition where there is complete unilateral failure of the vertebral body to form, is a common cause of congenital scoliosis
Doctor :   Left untreated, 25% of patients with congenital scoliosis show no progression,
Doctor :   Chromosomal analysis
Doctor :   can be done in this case
Doctor :   also amniotic fluid alphaĆ¢??fetoprotein concentration can be assessed if there is a question of an open neural tube defect
Doctor :   Serial ultrasonic evaluation is recommended to follow fetal growth and evaluate for signs of an open neural tube defect
User :   so in the remaining weeks .any chance of hemivertebra automatically getting cured ?
Doctor :   cant say, it is unlikely
Doctor :   diffcult to predict the outcome
Doctor :   there will congenital scoliosis in all
Doctor :   Spinal fusion is the treatment of choice for cases of congenital scoliosis that are progressive or are of the short, rigid type8. The treatment of congenital scoliosis should occur before significant deformity occurs.
User :   Thoracic circumference falls at 2.5% percentile , that 's the next issue
Doctor :   yes i can understand
Doctor :   these are difficult to assess before the baby is born
Doctor :   only after the baby is born u can assess its neurlogical status
Doctor :   how it is affected
Doctor :   based on the corrective steps can be taken
Doctor :   r u able to follow
User :   u there doctor
Doctor :   yes
Doctor :   r u getting my msg
Doctor :   anything else u want to know about
Doctor :   hi
User :   Hi doctor
Doctor :   yes tell me
Doctor :   are you there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
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Doctor :   Are you back XXXX?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
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User :   hi
User :   hello doctor
User :   vev
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