Surgical management of neurologically complicated kyphoscoliosis using transposition of the spinal cord: Case report

• Case of patient with single-stage correction of severe congenital kyphoscoliotic spinal deformities is provided.
• Combined anterior-posterior approach was applied.
• Transposition of the spinal cord followed by correction using vertebral instrumentation made it possible to improve trunk balance and stop deformity progression.

BackgroundTransposition of the spinal cord made it possible to achieve mobilization of the fixed kyphoscoliosis, significantly increase spinal canal volume and improve spinal canal shape. This helped to eliminate spinal cord compression and achieve complete regression of the existing neurological symptoms.Methods and resultsWe report the clinical case of surgical management of neurologically complicated kyphoscoliotic deformity of the thoracic spine by transposition of the spinal cord and correction using posterior segmental spinal instrumentation.ConclusionsThe required correction of severe kyphoscoliosis was performed; the risks of trunk imbalance, deformity progression, and instrumentation failure in the long-term postoperative period were reduced.Level of evidenceLevel IV – 1 case.