Congenital Kyphosis
This category of spinal deformity refers to an abnormal development
(incomplete formation, or segmentation) in the spine which leads
to abnormal kyphosis
that may be progressive and severe. The angular deformity due
to abnormal bone development in the spine may be quite significant
and evolve rapidly during the first years of life. In very mild
forms of congenital kyphosis
treatment may be delayed, however many cases require prompt and
thorough evaluation as well as surgical treatment. Bracing is
unfortunately not considered an effective treatment for these
types of kyphosis.
The goals of surgical treatment are to prevent progression of
abnormal curvature without aiming for excessive correction (which
risks neurologic problems, paralysis). The surgical techniques
applied are challenging and vary greatly depending upon the specific
deformity in a given patient.
It should be noted that congenital kyphosis
may be associated with a scoliosis and is seen in various syndromes
and congenital disorders affecting other organ systems or other
bones and joints. A complete evaluation is thus necessary in any
patient who has a congenital spinal problem. This would include
MRI studies of the spine and brain, CT study of the spine, ultrasound
of the kidneys, echocardiogram.
Frequently
Asked Questions
|
Figure 1
Click to enlarge
|
|