Natural History of Congenital Kyphosis and Kyphoscoliosis. A Study of One Hundred and Twelve Patients*

McMaster, Michael J.; Singh, Harwant

doi:10.2106/00004623-199910000-00002

Cited by 285 publications

(269 citation statements)

References 16 publications

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“…4c). In situ posterior fusion was performed on December 4, 2001 with expectation of preventing the deformity from further progression and the thoracic myelopathy from worsening (Masini and Maranhão 1997;Sato et al 1997;McMaster and Singh 1999). Before operation, the patient was placed awake prone on a frame for ten minutes, which caused no power loss or worsening of the spasticity in the legs.…”

Section: Case Reportmentioning

confidence: 99%

Gorham Disease of the Spine: A Case Report and Treatment Strategies for This Enigmatic Bone Disease

Aizawa

Sato

Kokubun

2005

Tohoku J. Exp. Med.

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Section: Case Reportmentioning

confidence: 99%

Gorham Disease of the Spine: A Case Report and Treatment Strategies for This Enigmatic Bone Disease

Aizawa

Sato

Kokubun

2005

Tohoku J. Exp. Med.

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“…The lack of a mobile spine frequently results in early truncal decompensation and a large compensatory curve, which may progress with time [36]. Rigid congenital kyphoscoliosis in adults usually occur with functional impairment and neurologic complications, and pain is a common symptom [9,21,22,26].…”

Section: Introductionmentioning

confidence: 99%

A single posterior approach for multilevel modified vertebral column resection in adults with severe rigid congenital kyphoscoliosis: a retrospective study of 13 cases

Wang

Zhang

et al. 2008

Eur Spine J

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We report a multilevel modified vertebral column resection (MVCR) through a single posterior approach and clinical outcomes for treatment of severe congenital rigid kyphoscoliosis in adults. Transpedicular eggshell osteotomies and vertebral column resection are two techniques for the surgical treatment of rigid severe spine deformities. The authors developed a new technique combining the two surgical methods as a MVCR, through a single posterior approach, for surgical treatment of severe congenital rigid kyphoscoliosis in adults. Thirteen adult patients with severe rigid congenital kyphoscoliosis deformity were treated by a single posterior approach using a MVCR technique. The surgery processes included a onestage posterior transpedicular eggshell technique first, and then expanded the eggshell technique to adjacent intervertebra space through abrasive reduction of the vertebral cortices from inside out. All posterior vertebral elements were removed including the cortical vertebral bone around the neural canal. Range of resection of the vertebral column at the apex of the deformity included apical vertebra and both cephalic and/or caudal adjacent wedged vertebrae. Totally, 32 vertebrae had been removed in 13 patients, with 2.42 vertebrae being removed on average in each case. The average fusion extent was 7.69 vertebrae. Mean operation time was 266 min with average blood loss of 2,411.54 ml during operation. Patients were followed up for an average duration of 2.54 years. Deformity correction was 59% in the coronal plane (from 79.7°to 32.4°) postoperatively and 33.7°(57% correction) at 2 years followup. In the sagittal plane, correction was from preoperative 85.9°to 27.5°immediately after operation, and 32.0°at 2 years follow-up. Postoperative pain was reduced from preoperative 1.77 to 0.54 at 2 years follow-up in visual analog scale. SRS-24 scale was from 38.2 preoperatively to 76.9 at 2 years follow-up postoperative. Complications were encountered in four patients (30.7%) with transient neurology that spontaneously improved without further treatment within 3 months. MVCR technique through a single posterior approach is an effective procedure for the surgical treatment of severe congenital rigid kyphoscoliosis in adults.

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“…Congenital kyphosis (CK) is caused by a mismatch during the final stages of ossification and cartilage formation in embryological development [1]. Ongoing growth in the posterior elements of the spine when there is a formation and/or segmentation failure in anterior structures of the spinal column may cause progressive segmental kyphosis resulting in sagittal imbalance [1].…”

Section: Introductionmentioning

confidence: 99%

The results of closing wedge osteotomy with posterior instrumented fusion for the surgical treatment of congenital kyphosis

et al. 2013

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Purpose There exist not much data regarding the surgical treatment of pure congenital kyphosis (CK) in the literature. The purpose of this study was to evaluate the results of closing wedge osteotomy with posterior instrumented fusion in patients with congenital kyphotic deformity. Methods We retrospectively evaluated the radiographical results of 10 patients who were subject to closing wedge vertebral osteotomy and posterior instrumented fusion due to CK. The mean age of the patients at surgery was 12.6 ± 3.72 years (range 8-18 years). Radiographical measurements including local kyphosis, correction loss, global kyphosis and sagittal balance values were noted for the preoperative, postoperative and final follow up periods, respectively. The data obtained from those periods underwent statistical analysis. Results Average follow-up period was 51.8 ± 29.32 months (range 26-96 months). The mean local kyphosis angle was 67.7°± 15.64°(range 42°-88°) prior to the surgery, 31.5°± 17.12 (range 14°-73°) following the surgery and 31.9°± 15.98°(range 14°-71°) during the follow up-period, respectively (p \ 0.05). A correction rate of 53.5 % was reported at the final follow up. Average sagittal balance was measured as 33.1 ± 24.48 mm (range 2-77 mm) prior to the surgery, 20.8 ± 15.46 mm (range 5-46 mm) following the surgery (p \ 0.05) and 14.1 ± 9.2 mm (range 0-30 mm) during follow-up period (p [ 0.05).

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Natural History of Congenital Kyphosis and Kyphoscoliosis. A Study of One Hundred and Twelve Patients*

Cited by 285 publications

References 16 publications

Gorham Disease of the Spine: A Case Report and Treatment Strategies for This Enigmatic Bone Disease

Gorham Disease of the Spine: A Case Report and Treatment Strategies for This Enigmatic Bone Disease

A single posterior approach for multilevel modified vertebral column resection in adults with severe rigid congenital kyphoscoliosis: a retrospective study of 13 cases

The results of closing wedge osteotomy with posterior instrumented fusion for the surgical treatment of congenital kyphosis

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