Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis

a technical case report

Seong Hyun Wui, Seong-Jae Hyun, Ki-Jeong Kim, Tae-Ahn Jahng, Hyun Jib Kim

Research output: Contribution to journalArticleResearchpeer-review

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.

Original languageEnglish
Pages (from-to)1407-1410
Number of pages4
JournalChild's Nervous System
Volume35
Issue number8
DOIs
StatePublished - 1 Aug 2019

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Meningomyelocele
Kyphosis
Posture
Parturition
Bone and Bones
Pain
Wounds and Injuries

Keywords

  • Deformity
  • Kyphectomy
  • Kyphosis
  • Lag screw
  • Myelomeningocele

Cite this

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title = "Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis: a technical case report",
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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Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis : a technical case report. / Wui, Seong Hyun; Hyun, Seong-Jae; Kim, Ki-Jeong; Jahng, Tae-Ahn; Kim, Hyun Jib.

In: Child's Nervous System, Vol. 35, No. 8, 01.08.2019, p. 1407-1410.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis

T2 - a technical case report

AU - Wui, Seong Hyun

AU - Hyun, Seong-Jae

AU - Kim, Ki-Jeong

AU - Jahng, Tae-Ahn

AU - Kim, Hyun Jib

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N2 - 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.

AB - 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.

KW - Deformity

KW - Kyphectomy

KW - Kyphosis

KW - Lag screw

KW - Myelomeningocele

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