Surgical Treatment of Congenital Kyphosis

Surgical treatment results of 24 patients, aged 3 — 57 years, with congenital kyphotic deformities of thoracolumbar spine are presented. Disturbance of vertebrae formation was diagnosed in 13 patients, segmentation disorder — in 4, mixed abnormalities — in 1, nonclassifying abnormalities — in 3, congenital dislocations (subluxation) — in 3 patients. Neurologic disorders were observed in 12 patients. Five surgical techniques were used for the treatment of congenital kyphotic deformities: posterior fusion (8 patients), combined dorsal and ventral fixation (6), spinal cord decompression in combination with correction and stabilization (4), resection of hemivertebra (3), VCR (Vertebral Column Resection — 4). After surgical correction the angle of kyphotic deformity made up from 7 to 68° (mean 42°), degree of correction from 6 to 84% (mean 34%). Differentiated use of surgical techniques enables to achieve good treatment results, formation of proper frontal and sagittal balance as well as to create conditions for an adequate spine development.

kyphosis, semi-vertebra, fusion, differentiated approach