Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis: a technical case report.

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

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.

TECHNICAL reports; KYPHOSIS; SCREWS; MYELOMENINGOCELE; PAIN management; OPERATIVE surgery

Child's Nervous System, 2019, Vol 35, Issue 8, p1407

0256-7040

Academic Journal

10.1007/s00381-019-04217-w