The management of severe rigid tuberculous kyphosis of the lumbar spine with multilevel vertebral column resection

A 19-year-old HIV-negative man presented to a Scoliosis Research Society Global Outreach Site with progressive low back pain. Physical examination revealed no neurological deficit. Standing plain radiographs (Fig. 1), T2-weighted sagittal magnetic resonance imaging (Fig. 2), and sagittal computed tomography (Fig. 3) demonstrated a significant rigid kyphotic deformity (greater than 98°) at L3. The patient underwent a single Stage 3–level posterior vertebral column resection (PVCR) with neuromonitoring, followed by reconstruction of the anterior column with two cages and posterior pedicle screw instrumentation (Fig. 4).
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Images of Spine Care Source Type: research