Posterior hemivertebrectomy for correction of congenital kyphosis in adulthood: case report and literature review

Congenital kyphosis is an infrequent cause of kyphosis with a potential severe progressive deformity and neurological damage. There are few reports in the literature about congenital kyphosis focusing on adults. Case presentation: 24-year-old male with progressive dorsal pain, paresthesias, and numbness in his legs. Physical examination demonstrated a rigid kyphotic deformity with tenderness on the apex, neurologically intact. The diagnosis was a T10 butterfly posterior hemivertebra with segmental kyphosis of 48 degrees. The patient was treated surgically with a single posterior procedure, performing a complete T10 hemivertebrectomy and instrumented fixation from T8 to T12. The postoperative assessment demonstrated a segmental kyphosis of 14 degrees with 34º of correction, without surgical complications, and good functional results during 4 years of follow-up. Conclusion: Posterior-only hemivertebra resection is an effective procedure for treating congenital kyphosis, providing an excellent correction of the deformity with a good functional outcome. Intraoperative imaging tools, such as CT scans and navigation systems, can aid in performing the surgery and improve outcomes.

Citación

Annals of Case Reports, Vol. 8, N° 6 (2023) p. 1-7.

Palabras clave

Adulthood, Congenital kyphosis, Butterfly hemivertebra

Licencia

Atribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)

Licencia URL

http://creativecommons.org/licenses/by-nc-sa/3.0/cl/

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