Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: A case report

Kenji Yoshioka, Koota Watanabe, Yoshiaki Toyama, Kazuhiro Chiba, Morio Matsumoto

研究成果: Article

12 引用 (Scopus)

抄録

A 32-year-old woman was referred to our hospital for a refractory ulcer on her back. She had a history of myelomeningocele with spina bifida that was treated surgically at birth. The ulcer was located at the apex of the kyphosis. An X-ray film revealed a kyphosis of 154° between L1 and 3 and a scoliosis of 60° between T11 and L5. Computed tomography, magnetic resonance imaging and laboratory data indicated the presence of a pyogenic spondylitis at L2/3. To correct the kyphosis and remove the infected vertebrae together with the skin ulcer, kyphectomy was performed. Pedicle screws were inserted from T8 to T12 and from L4 to S1. The dural sac was transected and ligated at L2, followed by total kyphectomy of the L1-L3 vertebrae. The spinal column was reconstructed by approximating the ventral wall of the T12 vertebral body and the cranial endplate of the L4 vertebra. Postoperatively, the kyphosis was corrected to 61° and the scoliosis was corrected to 22°. In the present case, we treated the skin ulcer and pyogenic spondylitis successfully by kyphectomy, thereby, preventing recurrence of the ulcer and infection, and simultaneously obtaining sufficient correction of the spinal deformity.

元の言語English
記事番号5
ジャーナルScoliosis
6
発行部数1
DOI
出版物ステータスPublished - 2011 4 8

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Spondylitis
Meningomyelocele
Kyphosis
Spine
Skin Ulcer
Ulcer
Scoliosis
X-Ray Film
Spinal Dysraphism
Tomography
Magnetic Resonance Imaging
Parturition
Recurrence
Infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

これを引用

Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele : A case report. / Yoshioka, Kenji; Watanabe, Koota; Toyama, Yoshiaki; Chiba, Kazuhiro; Matsumoto, Morio.

:: Scoliosis, 巻 6, 番号 1, 5, 08.04.2011.

研究成果: Article

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