vertebral anomalies may also distort the normal regional or global spinal alignment and necessitate some therapeutic interventions. hemiepiphysiodesis is a traditional procedure usually described for these young patients but in more severe cases some type of osteotomy seems to be necessary. in this technical note, we describe a 5-year-old boy with failed previous hemiepiphysiodesis surgery, who...

Congenital cervical kyphosis is a rare clinical condition. The purpose of this study was to review the surgical management and outcomes of 12 consecutive cases of congenital cervical kyphosis management by the same surgical team. The authors retrospectively analyzed the records of 12 patients (5 men and 7 women) with an average age of 18.4 years (range, 15-31 years) who underwent surgery for co...

STUDY DESIGN  Case report. OBJECTIVE  To describe a case of thoracic pedicle subtraction osteotomy (PSO) for congenital kyphosis in a child. BACKGROUND INFORMATION  Although congenital kyphosis is rare, it is a challenging cause of pediatric myelopathy and frank paralysis. Even less common is the use of PSO for the surgical management of focal congenital kyphosis. We present the case of a c...

A 38-year-old man presented with untreated congenital kyphosis associated with progressive spastic gait. To prevent progression of the spastic paralysis, rigid correction of the severe spinal deformity arising from the congenital kyphosis was performed by one-stage posterior closing-wedge osteotomy, without occurrence of neurological complications. Progression of the paralysis has not been iden...

We analysed the cases of lumbar kyphosis in 151 (21%) of a series of 719 patients with myelomeningocele. Three different types were distinguished: paralytic, sharp-angled and congenital. In a cross-sectional and partly longitudinal study the size and magnitude of the kyphosis, the apex of the curve and the level of paralysis of each group were recorded and statistically analysed. Paralytic kyph...

a 25-year old man presented with chronic low back pain for about 5 years due to mild congenital lumbar kyphosis (l1-l3 25° with congenital posterior wedge vertebra l2). preoperative neurologic examination was normal. after posterior spinal fusion and instrumentation with moderate curve correction, the patient gradually developed the symptoms and signs of cauda equina syndrome due to intraoperat...

INTRODUCTION Cervical kyphosis may be potentially the most serious and, indeed, a life-threatening manifestation of Larsen syndrome because of the impingement on the spinal cord at the apex of the kyphosis. Abnormalities of the spine, specifically cervicothoracic kyphosis requires specific attention and management. CASE PRESENTATION We report on a 3-year-old boy who presented with full clinic...

More children with spina bifida cystica are surviving today because of improved operative treatment and clinical care. Problems arising from spinal deformity in these children are presenting more often for treatment. The purpose of this paper is to observe the natural course of kyphotic spinal deformity seen in association with spina bifida cystica. Specific attention is focused on kyphosis bec...