Severe kyphoscoliosis secondary to neurofibromatosis. Case presentation
Abstract
Dystrophic scoliosis in neurofibromatosis is identifiable by being an acute-angle kyphoscoliosis involving a short segment of the spine and producing severe deformity that associated with the dystrophic changes of the spine result in real surgical challenges.We report the clinical case of a 15-year male with severe dystrophic kyphoscoliosis at the thoracolumbar area, with apex at T9, scoliosis with a Cobb angle of 107 °, and segmental kyphosis of 110.7°. The patient underwent a three-stage surgery, performed through a posterior approach, involving a vertebral column resection (VCR) and titanium mesh replacement, and achieving a kyphosis correction of 56% and a scoliosis correction of 59.8%. The patient experienced no major complications nor sequelae and had a favorable course. The VCR is a powerful and demanding surgical technique that allows for the management of the complex kyphoscoliosis deformity to achieve spinal balance; however, it is not without complications, especially neurological and pulmonary complications, which may be unavoidable. Our patient’s quality of life has improved significantly. Key words: Neurofibromatosis; scoliosis; resection; spineLevel of Evidence: IVDownloads
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