[Damage to the spinal marrow in kyphoscoliosis (author's transl)].

Damage to the spinal marrow by kyphoscoliosis shows a characteristic clinical syndrome: severe curvature of the vertebral column, first manifestation in the second decade or in the second half of life, at this time frequently associated with cardiac and circulatory failure, spinal symptoms often accentuated on the convex side of the scoliosis. Mechanical alteration of the spinal marrow and cardiovascular failure are considered to be pathogenetic factors. Kyphoscoliotic lesions of the bone marrow are rare and ought only to be diagnosed by exclusion. Conservative treatment consists of orthopedic measures and treatment of the heart and circulation. Operative decompression of the spine may be successful, but deterioration is possible after some years.