Ganjeifar Babak, Zabihyan Samira, Baharvahdat Humain, Baradaran Aslan
Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran.
Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran.
World Neurosurg. 2016 Jun;90:705.e1-705.e3. doi: 10.1016/j.wneu.2016.03.006. Epub 2016 Mar 11.
In this case report we discuss a case of thoracolumbar kyphectomy associated with myelomeningocoele. To our knowledge, no such total spondylectomy and fascinating alignment, with no skin defect on the outcome, has been reported in the literature.
A 15-year-old paraplegic girl, suffering from severe kyphosis, was not able to sit in a wheelchair. Her lumbar myelomeningocele was repaired perinatally. Surgery reduced the 137-degree angle deformity to a 30-degree kyphosis. At 12-month follow-up, the fusion consolidated as shown on the computed tomography scans and the instruments were good position with a 5-degree correction loss.
In most cases of kyphosis, anterior wedging occurs in the vertebral body where the apex of the deformity is located. In our patient kyphosis had a round curve with no definite apex that could be marked out. These deformities demand special attention regarding the surgical techniques and postoperative course.
在本病例报告中，我们讨论了一例与脊髓脊膜膨出相关的胸腰段后凸切除术。据我们所知，文献中尚未报道过如此彻底的脊椎切除术及令人满意的矫形效果，且术后无皮肤缺损。
一名15岁截瘫女孩，患有严重脊柱后凸，无法坐在轮椅上。她的腰骶部脊髓脊膜膨出在围产期已修复。手术将137度的角畸形矫正为30度的脊柱后凸。在12个月的随访中，融合情况如计算机断层扫描所示已巩固，内固定位置良好，矫正丢失5度。
在大多数脊柱后凸病例中，椎体楔形变发生在畸形顶点所在的椎体。在我们的患者中，脊柱后凸呈圆形曲线，没有明确的可标记顶点。这些畸形在手术技术和术后过程方面需要特别关注。
