Congenital kyphosis

Spine (Phila Pa 1976). 1982 Jul-Aug;7(4):360-4. doi: 10.1097/00007632-198207000-00006.


Thirty-four consecutive patients with congenital kyphosis treated surgically between 1971 and 1979 at Boston Children's Hospital were reviewed. Cases were classified into 25 Type I (failure of formation), seven Type II (failure of anterior segmentation), and two Type III (mixed). Staged anterior decompression and posterior fusion was the treatment in 15 Type I cases. Five Type II cases underwent posterior fusion. Patients ambulated in a body cast postoperatively for six months. Neurologic deficit improved postoperatively in six of eight cases. Pseudarthrosis occurred in two of 27 cases (7%) followed for one year. Early surgical treatment of Type I deformity is recommended. Anterior decompression is essential with neurologic deficit. Anterior and posterior fusion are recommended when kyphosis is greater than 60 degrees.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Kyphosis / classification
  • Kyphosis / congenital*
  • Kyphosis / surgery
  • Laminectomy
  • Male
  • Nervous System Diseases / etiology
  • Spinal Fusion