Akademik Veri Yönetim Sistemi
MedFORT 2023 İZMİR KONGRESİ Akdeniz Ortopedi ve Travmatoloji Federasyonu, İzmir, Türkiye, 16 - 17 Eylül 2023
Objective. Congenital kyphosis
deformity represents a relatively infrequent spinal disorder in comparison to
other types of spinal deformities. However, when left untreated and neglected,
it can result in significant morbidity and associated complications. To present
a patient with congenital kyphosis who presented with severe hunchback and
weakness in the lower extremities and to review the literature.
Case presentation. A 15-year-old
patient, accompanied by their parents, presented to our outpatient clinic with
a chief complaint of a recent increase in severe kyphotic deformity of the
back. Additionally, the patient reported experiencing lower limb weakness and
difficulty walking long distances. Following a thorough examination and
radiographic evaluation, no intraspinal pathology or comorbidities were
identified. Consequently, surgical intervention was planned, and a Schwab 4
osteotomy procedure was performed. Substantial clinical and radiological
improvements were observed in the postoperative period (Figure).
Results. The preoperative angular
measurements of the spinal curvature were as follows: thoracic kyphosis (TK)
measured at 136º, local kyphosis at 145º, lumbar lordosis (LL) at 109º, sacral
slope (SS) at 18.5º, and pelvic tilt (PT) at 39.3º. Notably, a significant
postoperative correction was observed, resulting in improved alignment: TK 64º,
LL 66º, SS 34º and PT 24º. No intraoperative or postoperative complications
were observed.
Conclusion. Congenital kyphosis
conditions have the potential to exhibit a rapid progression of deformity
during adolescence. Therefore, timely surgical correction becomes crucial
before the deformity attains advanced dimensions. Early-age surgical
interventions for correcting the deformity hold significant importance in
improving the overall quality of life for affected individuals.