Total en-bloc spondylectomy for correcting congenital kyphosis

Abstract

Study design: A case report of congenital kyphosis corrected using a total en-bloc spondylectomy. Objectives: To report a new surgical technique for the treatment of congenital kyphosis with myelopathy. Setting: Department of Orthopedic Surgery, Akita University School of Medicine, Akita, Japan. Methods: A 16-year-old boy who showed a 61°angular kyphosis and a 32°scoliosis from T6 to T9 due to the failure of the vertebral bodies formation in T7 and T8 was treated with a total en-bloc spondylectomy. Results: The kyphosis was corrected to 26°(57.3%) and the scoliosis was corrected to 5°(84.4%) postoperatively. Three years postoperatively, no loss of correction has occurred and the patient has no complaints. Conclusions: Total en-bloc spondylectomy is one of the useful surgical procedures for correction of congenital kyphosis Type I, with a high correction rate.