Late Onset of Thoracic Myelopathy with Type 2 Congenital Deformity: A Case Report

Background: Although there are several reports of paralysis developing after aggravation of the deformities of congenital kyphosis or kyphoscoliosis, the onset of myelopathy in middle-aged patients is rare. Objective: To describe a case of late onset thoracic myelopathy in a patient with anterolateral fused vertebrae. The progression of kyphoscoliosis in this middle-aged patient preceded the onset of myelopathy. Methods: A case of thoracic myelopathy in a 51-year-old female suffering from kyphoscoliosis resulting from anterolateral fused vertebrae between T10 and T12. The patient was treated surgically by costotransversectomy to allow spinal cord decompression and T7–L2 posterior stabilization. Results: The patient was successfully surgically treated using costotransversectomy for spinal cord decompression and extensive posterior stabilization. Conclusion: Type 2 congenital kyphosis may lead to thoracic myelopathy in a middle-aged patient.