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Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis: a technical case report
Seong-Hyun Wui1, Seung-Jae Hyun2, Ki-Jeong Kim1
1Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul, Republic of Korea.
Insights
A 5-year-old boy with worsening spinal kyphosis due to myelomeningocele (MMC) underwent surgical correction. The procedure aimed to halt deformity progression, alleviate pain, and improve posture, successfully addressing discomfort and enabling better positioning.
Area of Science:
- Pediatric Orthopedics
- Neurosurgery
- Spinal Deformity Correction
Background:
- A 5-year-old boy presented with progressive thoracolumbar kyphosis secondary to a repaired myelomeningocele (MMC).
- The spinal deformity significantly impacted the patient's ability to achieve comfortable sitting and supine postures, causing discomfort.
Abstract:
A 5-year-old boy had a thoracolumbar-level MMC that had been repaired at the day after birth and kyphotic deformity got worse as he grew. He complained of discomfort about not being able to take a supine posture and decided to perform surgery for kyphosis. In our case, surgical correction is offered to stop the deformity progression, manage the associated pain, and finally to gain sitting and supine posture. We report the surgical procedure with 4 levels of en bloc kyphectomy and using the lag screws. Especially when lag screws are used, several complications including posterior instrumentation failure, hardware prominence and wound break down can be solved by removing the implants after bone fusion has been achieved.
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