The Treatment of Flexion Myelopathy of the Thoracic Spine in Pierre Robin Sequence: A Case Report

J Med Assoc Thai. 2015 Oct;98(10):1041-4.

Abstract

Background: A few studies had reported the spinal deformity associated with neurological symptoms in PRS patients.

Objective: To report the management of myelopathy fromflexible thoracic kyphoscoliosis in Pierre Robin sequence (PRS) patient.

Material and method: A 15-year-old PRS patient with thoracic kyphoscolsis developed myelopathy symptom for 4 months. Posterior instrumentation (Cotrel-Dubousset) from T1-T9 was done to correct her deformity without decompression.

Results: Her motor power improved to grade 5/5 two months after operation. Her urological symptom returned to normal at 4-month postoperatively.

Conclusion: Myelopathy from flexible kyphotic deformity in PRS patients can be successfully treated by posterior correction and fusion without decompression.

Publication types

  • Case Reports

MeSH terms

  • Decompression, Surgical / methods*
  • Female
  • Humans
  • Kyphosis / etiology
  • Kyphosis / surgery*
  • Male
  • Pierre Robin Syndrome / complications
  • Pierre Robin Syndrome / surgery*
  • Spinal Cord Diseases / etiology
  • Spinal Cord Diseases / surgery*
  • Spinal Fusion / methods*
  • Thoracic Vertebrae / surgery
  • Treatment Outcome