Surgical treatment of congenital kyphosis in patients older than 10 years

Abstract

Objective. To analyze the outcomes of surgery for congenital kyphotic deformities of the spine in patients over 10 years old. Material and Methods. A total of 49 patients with congenital kyphosis were operated on. The age of the patients at the time of treatment was at least 10 years (mean 14.8 years), the follow-up period – at least 2 years (mean 3.8 years). All patients were operated on using third generation segmental instrumentation with hook and hybrid fixation. Results. Congenital kyphotic deformities are of high rigidity. The average magnitude of preoperative kyphosis was 92.9°, mobility – 27.5 %, during the operation it was corrected to 61.7° (33.5 %), postoperative progression was 4°. All anthropometric indicators have improved, the SRS-24 survey also showed positive patient-reported outcomes. At the same time, the complications are quite frequent, as well as initial involvement of the spinal canal content in the pathological process (11 patients). Conclusion. Congenital kyphotic deformities should be detected as early as possible and timely treated.

Keywords

• congenital kyphosis
• surgical treatment
• patients older than 10 years