Three-column osteotomy of the spine during revision surgery in a patient with congenital angular thoracolumbar kyphoscoliosis

Abstract

A clinical case of surgical treatment of a female adolescent patient with multiple malformations, congenital thoracolumbar kyphoscoliosis, severe lower paraparesis and impaired functions of pelvic organs is presented with a review of the literature on the problem under consider- ation. During the course of treatment over several years, the patient underwent repeated revision surgical interventions because of implant instability and infectious complications. The last stage of treatment included a three-column osteotomy of the spine at the deformity apex with posterior instrumented fixation. A significant correction of the deformity was achieved. Based on the results of 18-month follow-up, the correction is maintained, the implant is stable. The patient reports a significant improvement in the quality of life.

Keywords

• congenital kyphosis
• three-column osteotomy
• pediatric deformities
• posterior fixation
• revision intervention