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KMID : 1189320090030010027
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Asian Spine Journal
2009 Volume.3 No. 1 p.27 ~ p.31
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20-Year-Follow up of Treatment Using Spine Osteotomy and Halo-pelvic Traction for Tuberculous Kyphosis - A Case Report -
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Kim Nam-Hyun
Moon Seong-Hwan
Lee Hwan-Mo
Kim Ho-Joong
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Abstract
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A 23-year-old male whose medical history included tuberculous spondylitis presented with a kyphotic deformity and
incomplete paraplegia of twenty days duration. Preoperative radiographs demonstrated a T12-L4 kyphotic Cobb’s angle of
100??with a complete block showing on the lumbar myelogram at L4-5. The patient underwent anterior osteotomy and
release. After the operation, a halo-pelvic apparatus was fit onto the patient, and distraction was begun. After distraction
for 2 months, posterior osteotomy and release was performed for final correction, and distraction was maintained for another three weeks. Finally, the kyphotic deformity was corrected to a Cobb’s angle of 62??from T12 to L4. Supplementary anterior fusion was done, and the apparatus was removed after consolidation of the fusion mass. Even twenty years after correction of a tuberculous kyphosis, he had no neurological deterioration, and could work as a farmer using agricultural machines. Correction angle and sagittal balance were well maintained.
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KEYWORD
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Tuberculous kyphosis, Halo-pelvic traction, Spine osteotomy
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