Skip to main content
Journal cover image

Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report.

Publication ,  Journal Article
Rauzzino, MJ; Shaffrey, CI; Bartkowski, H; Nockels, R; Wiggins, G
Published in: Neurosurgery
April 2000

OBJECTIVE AND IMPORTANCE: Congenital thoracic kyphosis is a rare cause of treatable myelopathy. Multilevel thoracic pedicle aplasia as a cause of this deformity has not been previously reported in the literature. We report a case and describe the surgical management and outcome. CLINICAL PRESENTATION: A 14-year-old boy presented to us with a 4-month history of back pain and slowly progressive spastic paraparesis. Radiographic studies revealed thoracic kyphosis and bilateral aplasia of the pedicles of T4-T8. INTERVENTION: The patient underwent surgical treatment via a posterior approach for decompression of T4-T8, followed by arthrodesis from T2 to T12, using a hook claw construct with multiple points of fixation and autologous bone grafting. CONCLUSION: Congenital vertebral anomalies may be clinically occult, and delayed presentation may occur in adolescence or adulthood. Aplasia of multiple thoracic pedicles can produce kyphotic deformities with neurological compromise. A posterior approach with multiple points of segmental instrumentation can be effective in treating kyphotic deformities that are flexible and of moderate severity (<75 degrees).

Duke Scholars

Published In

Neurosurgery

ISSN

0148-396X

Publication Date

April 2000

Volume

46

Issue

4

Start / End Page

988 / 990

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Thoracic Diseases
  • Spinal Fusion
  • Radiography, Thoracic
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Kyphosis
  • Humans
  • Bone Transplantation
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rauzzino, M. J., Shaffrey, C. I., Bartkowski, H., Nockels, R., & Wiggins, G. (2000). Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report. Neurosurgery, 46(4), 988–990.
Rauzzino, M. J., C. I. Shaffrey, H. Bartkowski, R. Nockels, and G. Wiggins. “Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report.Neurosurgery 46, no. 4 (April 2000): 988–90.
Rauzzino MJ, Shaffrey CI, Bartkowski H, Nockels R, Wiggins G. Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report. Neurosurgery. 2000 Apr;46(4):988–90.
Rauzzino, M. J., et al. “Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report.Neurosurgery, vol. 46, no. 4, Apr. 2000, pp. 988–90.
Rauzzino MJ, Shaffrey CI, Bartkowski H, Nockels R, Wiggins G. Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report. Neurosurgery. 2000 Apr;46(4):988–990.
Journal cover image

Published In

Neurosurgery

ISSN

0148-396X

Publication Date

April 2000

Volume

46

Issue

4

Start / End Page

988 / 990

Location

United States

Related Subject Headings

  • Thoracic Vertebrae
  • Thoracic Diseases
  • Spinal Fusion
  • Radiography, Thoracic
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Kyphosis
  • Humans
  • Bone Transplantation