目的　探讨先天性半椎体手术治疗中的有关问题。方法　本组术前平均年龄 5 .4岁 ,单一半椎体 5例 ,多发半椎体 6例 ,共 18个半椎体全部行手术切除 ,其中 8例同期后路植骨融合 ,3例多发半椎体分两期切除 ,同时行凹侧骨桥切断加后路椎板植骨融合。结果　术后用石膏背心矫形 ,侧凸有不同程度改善 ,测量Cobb’s角 10°～ 5 5° ,平均 2 9.8°(术前 30°～ 80° ,平均 5 0 .9°) ,矫正率达 4 1.3%。9例获随访 ,平均随访时间 2 5个月 ,Cobb’s角 37.6°,丧失矫正 7.8°。结论　早期彻底切除半椎体及其他骨性僵硬因素可使生长中的脊柱逐渐获得平衡。对严重病例 ,盲目追求手术矫正率是危险的 Objective To investigate the related problems in the surgical treatment of congenital hemivertebra. Methods The average preoperative age was 5.4 years, single hemivertebra in 5 cases, multiple hemivertebra in 6 cases, a total of 18 hemivertebra all surgical resection, including 8 cases of posterior simultaneous bone graft fusion, 3 cases of multiple Half of the vertebral body resection in two phases, while the concave side of the bridge cut plus posterior laminar fusion. Results Postoperative gypsum vest correction, scoliosis with varying degrees of improvement, measuring Cobb’s angle 10 ° ~ 5 5 °, an average of 2 9.8 ° (preoperative 30 ° ~ 80 °, an average of 50.9 °), the correction rate of 4 1.3%. Nine patients were followed up for an average of 25 months. Cobb’s angle was 37.6 °, and loss of correction was 7.8 °. Conclusion Early radical resection of the hemivertebra and other bony stiffening factors may gradually balance the growing spine. For serious cases, the blind pursuit of surgical correction rate is dangerous