Surgical treatment of congenital kyphosis in patients older than 10 years

The results of surgical treatment of patients with congenital kyphotic deformities of the spine have been presented. The mean age of the patients at the time of treatment was at least 10 years, the follow-up period – at least 2 years. There were 49 patients in total, mean age was 14.8 years, mean follow-up – 3.8 years. Congenital kyphosis is of high rigidity. Average kyphosis value was 92.9º, preoperative mobility – 27.5 % which were diminished to 61.7º (33.5 %) in consequence of the surgery, postoperative progression was 4º. All anthropometric indicators have been improved; the survey SRS-24 data also show positive evaluation of patients’ outcomes. At the same time, the complications are quite frequent, as well as the original involvement of the spinal canal contents (11 patients) in the pathological process. Treatment of such patients is challenging, the early disease detection and prompt treatment of patients with congenital kyphosis are necessary.

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