CC BY-NC-ND 4.0 · Asian J Neurosurg 2015; 10(01): 32-34
DOI: 10.4103/1793-5482.151506
CASE REPORT

Circumferential fusion for severe post surgical cervical kyphosis

Sunil Singh
Department of Neurosurgery, King Georges Medical University, Lucknow
,
Chhitij Srivastava
Department of Neurosurgery, King Georges Medical University, Lucknow
,
Bal Ojha
Department of Neurosurgery, King Georges Medical University, Lucknow
,
Anil Chandra
Department of Neurosurgery, King Georges Medical University, Lucknow
› Author Affiliations

Cervical kyphosis-though a common occurrence after surgery and other conditions like trauma, infections, etc., is usually restricted to around 20-40°. It is more common in children. Angulations of more than 70-80° are exceedingly uncommon and present more treatment challenges. We discuss here the management of a 14-year-old child with a severe postoperative cervical kyphotic angulation of 92°. The child presented 10 months after surgery for a C3-C4 intramedullary cyst with neck deformity and near tetraplegic state. He underwent a combined anterior-posterior approach for correction after a trial of skull traction. Six months after the surgery, the child was ambulatory with almost total correction of the deformity. Surgical correction of postoperative cervical kyphosis usually involves a posterior approach for small angles and an anterior approach for larger angulations. The combined anterior-posterior approach is preferred for severe angulations or for those cases not correctable by a single approach. A purely posterior approach may be the only option for those cases where the anterior approach is impossible.



Publication History

Article published online:
22 September 2022

© 2015. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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