title: Five-Level Posterior Total En Bloc Spondylectomy of Severe Myelomeningocele Kyphosis.
abstract: BACKGROUND
  In this case report we discuss a case of thoracolumbar kyphectomy associated with myelomeningocoele. To our knowledge, no such total spondylectomy and fascinating alignment, with no skin defect on the outcome, has been reported in the literature.
  
  
  METHODS
  A 15-year-old paraplegic girl, suffering from severe kyphosis, was not able to sit in a wheelchair. Her lumbar myelomeningocele was repaired perinatally. Surgery reduced the 137-degree angle deformity to a 30-degree kyphosis. At 12-month follow-up, the fusion consolidated as shown on the computed tomography scans and the instruments were good position with a 5-degree correction loss.
  
  
  CONCLUSIONS
  In most cases of kyphosis, anterior wedging occurs in the vertebral body where the apex of the deformity is located. In our patient kyphosis had a round curve with no definite apex that could be marked out. These deformities demand special attention regarding the surgical techniques and postoperative course.
authors.affiliation: Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Ganjeifar
authors.affiliation: Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran.
authors.forename: Samira
authors.initials: S
authors.lastname: Zabihyan
authors.affiliation: Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran.
authors.forename: Humain
authors.initials: H
authors.lastname: Baharvahdat
authors.affiliation: Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Science, Mashhad, Iran. Electronic address: Aslan.Baradaran@gmail.com.
authors.forename: Aslan
authors.initials: A
authors.lastname: Baradaran
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy / Q000379:methods; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D007796:Laminectomy / Q000295:instrumentation / Q000379:methods*; D008591:Meningomyelocele / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: Five-level; Kyphosis; Myelomeningocele; Posterior spondylectomy