COMPRESSIVE MYELOPATHY IN CONGENITAL KYPHOSIS OF THE UPPER THORACIC SPINE: CASE REPORT AND LITERATURE REVIEW

Đinh Thế Hưng1,, Vũ Văn Cường1, Đỗ Mạnh Hùng1, Tạ Ngọc Hà1, Đinh Ngọc Sơn1
1 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Congenital kyphosis is an uncommon deformity of the vertebrae, in which there is imbalance in the longitudinal growth of the spine [1]. The Congenital Kyphosis of the Upper Thoracic Spine were rare 3.6%. 50% of these patients developed paraplegia, which may indicate higher risk of neurological comorbidity in congenital kyphosis of the upper thoracic spine [1]. A 4 years old female developed sudden onset of paraparesis for 4 months. She underwent a posterior approach vertebral column resection (VCR) T5 for decompression and kyphosis correction. There was motor and sensory return after 1 week and can walk after 3 months.

Article Details

References

1. McMaster MJ, Singh H. Natural history of congenital kyphosis and kyphoscoliosis: a study of one hundred and twelve patients. J Bone Joint Surg. 1999;81-A:1367–1383.
2. Winter RB, Moe JH, Wang JK. Congenital kyphosis: its natural history and treatment as observed in a study of one hundred and thirty patients. J Bone Joint Surg. 1973;55-A:223–256.
3. Lombard P, Le Ge´nissel. Cyphoses conge´nitales. Rev Orthp 1938;25: 532–50.
4. Van Schrick FG. Die angerborene Kyphose. Zeitschr Orthop Chir 1932;56: 238–59
5. Justin S. Smith, M.D., Ph.D, Decision Making In Pediatric Spinal Deformity, Neurosurgery 63:A54–A68, 2008.
6. Zhengfeng Zhang, Compressive Myelopathy in Congenital Kyphosis of the Upper Thoracic Spine, A Retrospective Study of 6 Cases, J Spinal Disord Tech 2015;00:000–000.
7. Jalanko T, Rintala R, Puisto V, et al. Hemivertebra resection for congenital scoliosis in young children: comparison of clinical,radiographic, and health-related quality of life outcomes between the anteroposterior and posterolateral approaches. Spine. 2011; 36:41–49.