[Surgical management of severe thoracic lordosis in myelomeningocele--a case report with review of the literature].
While scoliosis and kyphosis are the most common spinal deformities in patients with myelomeningocele, single lordotic deformitics are rare. There are only few reports about the operative treatment of a primary thoracic lordosis of -135 degrees Cobb angle. By means of a dorso-ventral-dorsal procedure correction and stabilisation of the lordotic deformity was performed. A correction of -26 degrees Cobb angle was achieved without loss of correction during follow up of 18 months. The case report shows that in individual cases even severe lordotic deformities can be treated with surgery successfully. An anterior-posterior procedure should be considered. The case is discussed with the rare national and international literature.
Niemeyer
T
T
Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische-Wilhelms-Universität Münster.
Liljenqvist
U
U
Halm
H
H
D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008141:Lordosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008591:Meningomyelocele / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D013123:Spinal Fusion; D016896:Treatment Outcome
Operative Behandlung einer schwergradigen thorakalen Lordose bei Myelomeningocele--Ein Fallbericht mit Literaturübersicht.