Surgical correction of congenital kyphosis in patients with incomplete bone growth: a clinical case

There are two types of congenital kyphosis, namely disorders of the formation or segmentation of the vertebrae. Most congenital kyphotic deformities are actively progressive and have a high risk of developing neurological deficits. In modern publications, much attention is paid to the surgical correction of congenital kyphosis, but not many works describe the experience of treating patients with incomplete bone growth. The purpose of our article was to present all stages of surgical treatment for congenital kyphotic deformity in a female patient with incomplete bone growth. Clinical case describes the treatment of a 7-year-old girl with a wedge-shaped hemivertebra at the Th8 level, who underwent osteotomy of the pathological vertebra with fixation of the spine using a growth-friendly transpedicular construct. This method does not limit the growth potential of the spine, allows for significant intraoperative correction of local kyphosis, and reduces the risk of complications associated with instability of the metal fixator.