title: Thoracolumbar kyphosing scoliosis associated with spondyloepiphyseal dysplasia congenita: a case report.
abstract: BACKGROUND
  A case of spondyloepiphyseal dysplasia congenita (SEDC) with thoracolumbar kyphosing scoliosis and a clinical outcome of the patient's surgical treatment are reported.
  
  
  OBJECTIVE
  We report a rare case and the effect of surgical treatment on the kyphosing scoliosis with SEDC with a review of literature.
  
  
  METHODS
  SEDC is a rare disease and has a variety of spinal deformities. To our knowledge, a case of surgical treatment for the kyphosing scoliosis with SEDC was not reported before.
  
  
  METHODS
  The patient, a 27-year-old woman, complained of severe back pain and dyspnea. She was operated on in 1997 for severe kyphosing scoliosis, using segmental spinal instrumentation and strut bypass graft. She was followed for 6 years, and clinical symptoms and plain X-ray films were investigated.
  
  
  RESULTS
  Her kyphosis was corrected from 116 degrees to 86 degrees at the final follow-up; otherwise, her scoliosis was almost unchanged. Her symptoms were relieved.
  
  
  CONCLUSIONS
  A case of SEDC with thoracolumbar kyphosing scoliosis was successfully treated by segmental spinal instrumentation and anterior strut bypass graft.
authors.affiliation: Department of Orthopaedic Surgery, Gifu University, School of Medicine, Japan.
authors.forename: Masaji
authors.initials: M
authors.lastname: Morita
authors.forename: Kei
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Nishimoto
authors.forename: Hideo
authors.initials: H
authors.lastname: Hosoe
authors.forename: Katsuji
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D010009:Osteochondrodysplasias / Q000150:complications / Q000473:pathology* / Q000601:surgery; D012600:Scoliosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation; D016896:Treatment Outcome