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imary surgical procedures and the reasons for revision. The recommended revision strategies include incision of pseudarthrosis with sufficient bone graft, fixation of satellite rods, thorough residual HV excision, prolonged fusion to S and transforaminal lumbar interbody fusion at lumbosacral region. Solid bony fusion and no implant-related complication were detected during the follow-up. The causes of revision surgery for patients with congenital scoliosis (CS) due to lumbosacral HV were verified and implant failure with pseudarthrosi