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Infantile developmental thoracolumbar kyphosis with segmental subluxation of the spine

A I Tsirikos1, M J McMaster

  • 1Scottish National Spine, Deformity Centre, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, UK. atsirikos@hotmail.com

The Journal of Bone and Joint Surgery. British Volume
|March 2, 2010
PubMed

Insights

This study identifies infantile developmental thoracolumbar kyphosis with segmental subluxation of the spine in children. Surgical fusion effectively corrected the deformity and improved vertebral anomalies.

Area of Science:

  • Pediatric Orthopedics
  • Spinal Deformity Research
  • Developmental Pediatrics

Background:

  • Progressive thoracolumbar kyphosis in infants can be associated with spinal instability.
  • Segmental instability and vertebral anomalies may contribute to spinal deformities.

Purpose of the Study:

  • To describe a specific type of infantile spinal deformity: developmental thoracolumbar kyphosis with segmental subluxation.
  • To differentiate this condition from congenital spinal displacement.
  • To report on the outcomes of surgical intervention for this condition.

Main Methods:

  • Case series of five children presenting with thoracolumbar kyphosis.
  • Radiographic evaluation of spinal alignment and vertebral morphology.
  • Treatment via localized posterior spinal fusion.

Main Results:

  • All patients showed progressive kyphosis over three months.
  • Posterior spinal fusion led to gradual kyphosis correction and vertebral reconstitution.
  • One patient required exploration for pseudarthrosis at nine months.

Conclusions:

  • 'Infantile developmental thoracolumbar kyphosis with segmental subluxation of the spine' is a distinct developmental spinal deformity.
  • Early surgical intervention with spinal fusion can yield favorable outcomes.
  • This condition, if progressive, poses a risk of neurological compromise.

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