Kyphosis Case 2

Case Review #2: 19 year old female with Progressive Schuermanns Kyphosis from Robert Pashman

A 19 year old female presented with a progressive 80° Schuermann’s Kyphosis curvature. Dr. Pashman treated the patient with a posterior spinal fusion T2-L1.

    Case Review:

    Schuermann’s Kyphosis

    Patient History:

    19 year old female presented with Scheuermanns kyphosis, 80°. Status post anterior/posterior spinal fusion, L4-S1. Isthmic spondylolisthesis. Co-morbidity, including overweight and narcotic usage.

    Indications for Surgery:

    This is not a flexible curve. She has significant pain in her neck and low back from the curvature. Significant cosmetic deformity Failed conservative therapy Pseudoarthrosis

    Surgical Strategy:

    Segmental spinal instrumentation, thoracic 2 to lumbar 1.This is a 13-level fusion with pedicle screw thoracic 5.5stainless steel rod construct.Posterior spinal fusion, thoracic 2 to L1, usingcombination of locally harvested autogenous bone andputty extender.Osteotomy for mobilization of spine posteriorly, T4, T5,T6, T7, T8, T9. These are bilateral facetectomies andosteotomies through ankylosed spine withScheuermanns kyphosis.Intraoperative somatosensory evoked potentials.Intraoperative fluoroscopy.Plastic closure of wound.

    Post-Op x-rays Comparison:

    The patient is well balanced in her frontal and sagittal plane. She has some low back pain. She is continuing physical therapy exercises, and has lost weight.