Closing-opening wedge osteotomy for severe, rigid, thoracolumbar post-tubercular kyphosis.

ABSTRACT: Childhood spinal tuberculosis, especially when associated with severe vertebral destruction of more than two vertebral bodies can end up in severe deformity. These children show progressive deformity throughout the period of growth and can develop severe kyphosis of >100°. Such kyphosis is severely disabling with significant risk of neurological deficit and respiratory compromise. Surgical correction of these deformities by both anterior and posterior approaches has been described but each have serious limitations of approach, correctability and safety. We describe here a technique of posterior closing-anterior opening osteotomy, which allowed us to correct a rigid post-tubercular deformity of 118° in a 13-year-old boy with neglected spinal tuberculosis. The patient was a 13-year-old boy,

SUBMITTER: Rajasekaran S 

PROVIDER: S-EPMC3048222 | biostudies-literature | 2011 Mar

REPOSITORIES: biostudies-literature