Congenital kyphoscoliosis with paralysis following hemivertebra excision.
This is a case report of a 13-year-old girl with a severely progressive congenital kyphoscoliosis, treated by halo-femoral traction and a single stage anterior and posterior hemivertebra excision. Forty-eight hours after surgery she developed paralysis of bowel, bladder and all motor function with partial preservation of deep sensation only. She began to have neurologic recovery 2 months later with gradual return of a completely normal neurological status over a period of 12 months. Pseudarthrosis and loss of correction of the original deformity required a second major anterior spine fusion 16 months after the initial procedure. No neurologic problems occurred following the second anterior fusion. A stable correction  was ultimately achieved. The mechanism of postoperative paralysis is unknown.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D010027:Osteotomy; D010243:Paralysis / Q000209:etiology*; D010808:Physical Examination; D011183:Postoperative Complications / Q000209:etiology*; D011859:Radiography; D012008:Recurrence; D012600:Scoliosis / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D014143:Traction