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Congenital thoracic lordosis

R B Winter, J H Moe, D S Bradford

The Journal of Bone and Joint Surgery. American Volume

|September 1, 1978

Summary

Congenital thoracic lordosis is a rare spinal deformity. Early spine fusion can halt its progression, but aggressive correction attempts carry severe risks.

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Area of Science:

Pediatric Orthopedics
Spinal Deformities
Congenital Abnormalities

Background:

Congenital thoracic lordosis is a rare spinal deformity.
This condition can be progressive, leading to severe pulmonary deficits and mortality.

Observation:

The study presents five cases of congenital thoracic lordosis.
Two recent cases involved early spine fusion (anterior and posterior).
Two other cases underwent aggressive correction attempts.

Findings:

Early spine fusion in two patients halted deformity progression and showed some amelioration of lordosis.
Aggressive correction attempts in two patients resulted in severe complications, including one death and one case of quadriparesis.

Implications:

Early surgical intervention, such as spine fusion, may be a viable strategy for managing congenital thoracic lordosis.
Aggressive correction of this deformity carries substantial risks and should be approached with caution.

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