Clinical Images
Surgical Correction of D12 Hemivertebra induced Gross Kyphoscoliosis
Alhad Mulkalwar* and Tushar Rathod
Corresponding Author: Alhad Mulkalwar, Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, India.
Received: December 12, 2020; Revised: January 30, 2021; Accepted: February 2, 2021 Available Online: April 14, 2021
Citation: Mulkalwar A & Rathod T. (2021) Surgical Correction of D12 Hemivertebra Induced Gross Kyphoscoliotic Deformity with Excellent Clinical and Cosmetic Post-Operative Result. J Spine Dis, 2(1): 28-36.
Copyrights: ©2021 Mulkalwar A & Rathod T. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A 14 years old male child presented to the department of Orthopedics, King Edward Memorial Hospital, Mumbai in September 2019, with severe deformity of his spine (Figure 1). He also complained of difficulty in standing and walking along with severe backache. Investigations revealed a D12 hemivertebra with resultant gross kyphoscoliotic deformity compressing the spinal cord (Figures 2 - 9). The child was treated by an 11 hour long corrective surgery, during which continuous neuro-monitoring was done (Figures 10A – H). He underwent resection of the D12 hemivertebra and insertion of a titanium cage with bone graft. The kyphoscoliotic deformity was corrected following vertebral column resection & posterior instrumentation with pedicular screws and rods (Figure 11). He had an uneventful operative and postoperative course. He was given physiotherapy in the form of gait training & trunk stabilization exercises with full weight bearing. He was given a whole body contact brace at discharge on postoperative day16. The patient reported improvement of weakness in both the lower limbs along with an excellent cosmetic outcome (Figures 12 & 13). This surgery was carried out free of cost under ‘Pradhan Mantri Jan Arogya Yojana (PMJAY)’ scheme.