A unique approach to fixed occipito-cervico-thoracic deformity

Area of Science:

• Orthopedic Surgery
• Spinal Deformity Correction
• Neurosurgery

Background:

• Severe spinal deformities, such as kyphosis and laterolisthesis, pose significant challenges in cranio-cervico-thoracic spine management.
• Previous trauma can lead to progressive spinal instability and deformity, impacting patient quality of life and potentially necessitating complex interventions.

Observation:

• A patient presented with severe kyphosis and laterolisthesis of the cranio-cervico-thoracic spine 24 months post-neck trauma.
• The patient's condition was critical, with voluntary euthanasia considered if treatment was not feasible.

Findings:

• A unique three-part surgical strategy was implemented over three weeks.
• The procedure involved initial traction, anterior cervical muscle release, multilevel anterior fusion, and posterior occipito-cervico-thoracic fusion.
• Six-month follow-up demonstrated successful restoration of neutral sagittal and coronal balance in the cervical spine.

Implications:

• This surgical approach offers a viable solution for complex cranio-cervico-thoracic spinal deformities, even in critical cases.
• The successful outcome highlights the potential for multi-stage surgical interventions in managing severe spinal instability and deformity.
• This case underscores the importance of innovative surgical techniques in addressing challenging spinal conditions and improving patient outcomes.