Surgical treatment of congenital kyphosis (literature review)

Dmytro Demchenko, Andrey Mezentsev, Dmytro Petrenko


Congenital kyphosis is caused by vertebral formation or seg­mentation failures and the presence of active hemivertebrae, characterized by rapid progression and, as a rule, the development of major neurological complications. Various surgi­cal techniques congenital kyphosis are known. In our opinion, a further improvement in the results of treatment of this disease is impossible without analysis.

Objective: based on analy­sis of the scientific literature on outcomes and complications of treatment of congenital kyphosis, identify the advantages and disadvantages of the existing methods of surgical treatment of this pathology.

Methods: published in international scientific journals, scientific papers on treatment of congenital kyphosis. Search performed on servers Medline and PubMed.

Results: of 795 articles identified 20 works selected, in which the follow­ing surgical methods are described: pedicle subtraction osteotomy, spinal decancellation, posterior vertebrectomy, antero­posterior vertebrectomy, in situ fusion. The largest correction was achieved in patients who underwent spinal vertebrectomy and decancellation or pedicle subtraction osteotomy. However, in these patients recorded the highest level of intra- and postoperative complications.

Conclusions: currently, in the surgical treatment of congenital kyphosis, preference is given to vertebrectomy, decancellation and pedicular subtraction osteotomy. The main intra- and postoperative complications are: hemor­rhage, spinal cord injury, neurological deficit, pseudarthrosis, loss of correction achieved. A promising area of surgery of con­genital kyphosis is to develop technology that would achieve sufficient correction of the curvature in conjunction with mini­mizing complications and preserving spinal growth.


congenital kyphosis; surgical treatment; vertebrectomy; spinal osteotomy


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