Kee-Yong Ha1, Seung-Woo Suh2, Young-Hoon Kim3, Sang-Il Kim3. 1. Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Korea. kyh@catholic.ac.kr. 2. Department of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea. 3. Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Korea.
Abstract
PURPOSE: The objective of this study is to report the progression of congenital hyperlordoscoliosis in a 2-year-old patient and the use of multiple surgical interventions in the treatment of hyperlordoscoliosis of the thoracic spine. METHODS: A 2-year-old patient with thoracic hyperlordosis underwent observation for 1 year. To halt the progression of hyperlordosis, a posterior laminectomy was carried out to remove all the fused segments. Despite surgery, lordosis progressed via spontaneous autofusion with development of scoliosis with unilateral unsegmented bar. At the age of 9 years, the patient underwent posterior osteotomy at the fused segments, which was unsuccessful in the correction of hyperlordosis, but was successful in the correction of scoliosis. At the age of 12 years, the patient complained of mild breathing difficulties resulting from hyperlordosis of the thoracic spine, and underwent posterior multilevel vertebral osteotomy (PMVO) again to correct lordoscoliosis. RESULTS: Follow-up in the 3 years after PMVO showed that correction of the deformity was well maintained, with a good clinical outcome and a well-balanced spine. CONCLUSIONS: PMVO is a potential intervention to manage rigid and severe congenital lordoscoliosis of the thoracic spine.
PURPOSE: The objective of this study is to report the progression of congenital hyperlordoscoliosis in a 2-year-old patient and the use of multiple surgical interventions in the treatment of hyperlordoscoliosis of the thoracic spine. METHODS: A 2-year-old patient with thoracic hyperlordosis underwent observation for 1 year. To halt the progression of hyperlordosis, a posterior laminectomy was carried out to remove all the fused segments. Despite surgery, lordosis progressed via spontaneous autofusion with development of scoliosis with unilateral unsegmented bar. At the age of 9 years, the patient underwent posterior osteotomy at the fused segments, which was unsuccessful in the correction of hyperlordosis, but was successful in the correction of scoliosis. At the age of 12 years, the patient complained of mild breathing difficulties resulting from hyperlordosis of the thoracic spine, and underwent posterior multilevel vertebral osteotomy (PMVO) again to correct lordoscoliosis. RESULTS: Follow-up in the 3 years after PMVO showed that correction of the deformity was well maintained, with a good clinical outcome and a well-balanced spine. CONCLUSIONS: PMVO is a potential intervention to manage rigid and severe congenital lordoscoliosis of the thoracic spine.
Authors: Jae Hyuk Yang; Seung Woo Suh; Won Tae Cho; Jin Ho Hwang; Jae Young Hong; Hitesh N Modi Journal: Spine (Phila Pa 1976) Date: 2014-10-15 Impact factor: 3.468
Authors: William Bartlett; Enrique Garrido; Colin Wallis; Stewart K Tucker; Hilali Noordeen Journal: Spine (Phila Pa 1976) Date: 2009-01-01 Impact factor: 3.468