Challenging Case of Sitting Imbalance as an Indication of Surgery for Grotesque Congenital Deformity of Spine - A Case Report.

Journal of Orthopaedic Case Reports Pub Date : 2025-05-01 DOI:10.13107/jocr.2025.v15.i05.5558

Jeevan Kumar Sharma, Kalidindi Kalyan Kumar Varma, Abhinandan Reddy Mallepally, Padmini Yadav, Arun Sharma, Gururaj Mallikarjun Sangodimath

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引用次数: 0

Abstract

Introduction: Sitting imbalance due to spinal deformity as an indication of surgery is very rarely encountered.

Case report: We came across a very peculiar case of spinal deformity case who was wandering in search of treatment around multiple centers. The main concern for this 16-year-old boy from Yemen, who was born with congenital deformity with myelomeningocele and paraplegia, was sitting imbalance, which developed 2 months before presentation to our institute. Patient underwent a thorough clinical, radiological and multimodality assessment. Staged procedure of diastematomyelia excision followed by definitive posterior deformity correction was performed. Postoperatively, the patient's sitting balance was restored with no complications.

Conclusion: Sitting imbalance can be an indication of surgery with congenital complicated kyphoscoliosis. With proper planning and staged management, the sitting balance could be achieved.

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坐姿不平衡作为先天性脊柱怪诞畸形手术指征的挑战性病例- 1例报告。

由于脊柱畸形导致的坐姿不平衡作为手术的指征是非常罕见的。病例报告：我们遇到了一个非常特殊的脊髓畸形病例，他在多个中心徘徊寻找治疗方法。这名来自也门的16岁男孩出生时患有先天性脊髓脊膜膨出和截瘫，主要关注的是坐姿不平衡，这是在我们研究所就诊前2个月出现的。患者接受了全面的临床、放射学和多模式评估。分阶段切除纵裂骨髓瘤，随后进行明确的后路畸形矫正。术后患者坐位平衡恢复，无并发症。结论：坐姿不平衡可作为先天性复杂后凸手术的指征。通过适当的规划和阶段性管理，可以实现坐姿平衡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Case Reports

自引率

0.00%

发文量

128

审稿时长

30 weeks