Surgical treatment of severe congenital kyphosis in an adult patient: rare clinical observation and a brief literature review
https://doi.org/10.14531/2018.4.21-26
Abstract
The paper presents a clinical case of surgical treatment of an adult patient with severe rigid congenital kyphosis developed due to multiple anomalies in the thoracolumbar spine. Surgical intervention included vertebral column resection (VCR) and the deformity correction using segmental third-generation instrumentation with transpedicular fixation. The VCR made it possible to correct the relationship between vertebrae in the anomaly zone, to improve the shape of the spinal canal and increase its volume, and to achieve apparent mobility of the spine at the apex of the kyphosis. Preservation of the anterosuperior portion of the body of the resected vertebra allowed avoiding anterior mesh cage use to support and reconstruct the anterior supporting column of the resected segment. This enabled performing necessary correction of severe kyphotic deformity, reduced the risk of neurological complications, and favored the formation of solid bone block in the long-term period after surgery.
About the Authors
V. V. Novikov
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
DMSc, senior researcher, head of Research Department of Children and Adolescent Spine Surgery
Frunze str., 17, Novosibirsk, 630091
A. Yu. Sergunin
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
junior researcher of Research Department of Children and Adolescent Spine Surgery
Frunze str., 17, Novosibirsk, 630091
V. V. Belozerov
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
junior researcher of Research Department of Children and Adolescent Spine Surgery
Frunze str., 17, Novosibirsk, 630091,
M. N. Lebedeva
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
DMSc, head of Research Department of Anesthesiology and reanimatology
Frunze str., 17, Novosibirsk, 630091
A. S. Vasyura
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
MD, PhD, senior researcher of Department of Children and Adolescent Spine Surgery
Frunze str., 17, Novosibirsk, 630091
M. V. Mikhaylovskiy
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
DMSc, Prof., chief researcher of Department of Children and Adolescent Spine Surgery
Frunze str., 17, Novosibirsk, 630091
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Review
For citations:
Novikov V.V., Sergunin A.Yu., Belozerov V.V., Lebedeva M.N., Vasyura A.S., Mikhaylovskiy M.V. Surgical treatment of severe congenital kyphosis in an adult patient: rare clinical observation and a brief literature review. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2018;15(4):21-26. https://doi.org/10.14531/2018.4.21-26
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