To analyze results of surgical treatment of patients with congenital kyphosis in the thoracolumbar spine. Material and Methods. A total of 24 patients aged 3 to 57 years with congenital kyphosis were operated on. Vertebral malformation was detected in 13 patients, malsegmentation-in 4, mixed abnormality-in 1, unclassifiable abnormality-in 3, and congenital vertebral displacement-in 3. Congenital kyphotic deformities were treated using five surgical techniques. Neurological complications were observed in one patient. Results. The average postoperative kyphosis angle was 42° (range: 7° to 68°). The average rate of correction was 34 % (range: 6 to 84 %). Conclusion. Differential use of surgical techniques allows achieving good outcomes of treatment, restoring coronal and sagittal balance, and creating conditions for the proper development of the spine.
The paper presents two cases of surgical treatment for spine deformity and spinal canal stenosis in achondroplastic patients. Both patients underwent two-stage surgery including posterior stabilization of the spine using transpedicular fixation system and anterior spinal decompression. The surgery resulted in deformity correction and achieving stable fixation. At long-term follow-up the improvement of neurologic status, and stable correction and fixation were noted in both patients.
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