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Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report

A 32-year-old woman was referred to our hospital for a refractory ulcer on her back. She had a history of myelomeningocele with spina bifida that was treated surgically at birth. The ulcer was located at the apex of the kyphosis. An X-ray film revealed a kyphosis of 154° between L1 and 3 and a scoli...

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Autores principales: Yoshioka, Kenji, Watanabe, Kota, Toyama, Yoshiaki, Chiba, Kazuhiro, Matsumoto, Morio
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080349/
https://www.ncbi.nlm.nih.gov/pubmed/21477271
http://dx.doi.org/10.1186/1748-7161-6-5
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author Yoshioka, Kenji
Watanabe, Kota
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
author_facet Yoshioka, Kenji
Watanabe, Kota
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
author_sort Yoshioka, Kenji
collection PubMed
description A 32-year-old woman was referred to our hospital for a refractory ulcer on her back. She had a history of myelomeningocele with spina bifida that was treated surgically at birth. The ulcer was located at the apex of the kyphosis. An X-ray film revealed a kyphosis of 154° between L1 and 3 and a scoliosis of 60° between T11 and L5. Computed tomography, magnetic resonance imaging and laboratory data indicated the presence of a pyogenic spondylitis at L2/3. To correct the kyphosis and remove the infected vertebrae together with the skin ulcer, kyphectomy was performed. Pedicle screws were inserted from T8 to T12 and from L4 to S1. The dural sac was transected and ligated at L2, followed by total kyphectomy of the L1-L3 vertebrae. The spinal column was reconstructed by approximating the ventral wall of the T12 vertebral body and the cranial endplate of the L4 vertebra. Postoperatively, the kyphosis was corrected to 61° and the scoliosis was corrected to 22°. In the present case, we treated the skin ulcer and pyogenic spondylitis successfully by kyphectomy, thereby, preventing recurrence of the ulcer and infection, and simultaneously obtaining sufficient correction of the spinal deformity.
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spelling pubmed-30803492011-04-21 Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report Yoshioka, Kenji Watanabe, Kota Toyama, Yoshiaki Chiba, Kazuhiro Matsumoto, Morio Scoliosis Case Report A 32-year-old woman was referred to our hospital for a refractory ulcer on her back. She had a history of myelomeningocele with spina bifida that was treated surgically at birth. The ulcer was located at the apex of the kyphosis. An X-ray film revealed a kyphosis of 154° between L1 and 3 and a scoliosis of 60° between T11 and L5. Computed tomography, magnetic resonance imaging and laboratory data indicated the presence of a pyogenic spondylitis at L2/3. To correct the kyphosis and remove the infected vertebrae together with the skin ulcer, kyphectomy was performed. Pedicle screws were inserted from T8 to T12 and from L4 to S1. The dural sac was transected and ligated at L2, followed by total kyphectomy of the L1-L3 vertebrae. The spinal column was reconstructed by approximating the ventral wall of the T12 vertebral body and the cranial endplate of the L4 vertebra. Postoperatively, the kyphosis was corrected to 61° and the scoliosis was corrected to 22°. In the present case, we treated the skin ulcer and pyogenic spondylitis successfully by kyphectomy, thereby, preventing recurrence of the ulcer and infection, and simultaneously obtaining sufficient correction of the spinal deformity. BioMed Central 2011-04-08 /pmc/articles/PMC3080349/ /pubmed/21477271 http://dx.doi.org/10.1186/1748-7161-6-5 Text en Copyright ©2011 Yoshioka et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yoshioka, Kenji
Watanabe, Kota
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title_full Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title_fullStr Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title_full_unstemmed Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title_short Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
title_sort kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080349/
https://www.ncbi.nlm.nih.gov/pubmed/21477271
http://dx.doi.org/10.1186/1748-7161-6-5
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