Challenging Case of Sitting Imbalance as an Indication of Surgery for Grotesque Congenital Deformity of Spine - A Case Report.

INTRODUCTION

Sitting imbalance due to spinal deformity as an indication of surgery is very rarely encountered.

CASE REPORT

We came across a very peculiar case of spinal deformity case who was wandering in search of treatment around multiple centers. The main concern for this 16-year-old boy from Yemen, who was born with congenital deformity with myelomeningocele and paraplegia, was sitting imbalance, which developed 2 months before presentation to our institute. Patient underwent a thorough clinical, radiological and multimodality assessment. Staged procedure of diastematomyelia excision followed by definitive posterior deformity correction was performed. Postoperatively, the patient's sitting balance was restored with no complications.

CONCLUSION

Sitting imbalance can be an indication of surgery with congenital complicated kyphoscoliosis. With proper planning and staged management, the sitting balance could be achieved.