Severe Congenital Kyphoscoliosis Pediatric

Case Information

13 yo diagnosed with kyphoscoliosis at 4 years of age presented with a large thoracolumbar prominence and increasing low back pain.
The patient has severe lumbar pain and numbness overlying the prominence on her back.
She is very active, playing softball, basketball, and the flute.
The patient had a large thoracolumbar prominence, the left shoulder was higher than the right.
The deformity minimally corrected with supine positioning.
A posterior approach was used to perform a vertebral column resection (VCR) of the entire spinal column at T8, T9, and T10.
A posterior spinal fusion was performed from T5-L3 with screws and rods with the patient’s bone, bone chips from a tissue bank, and bone morphogenetic protein to aid in fusion
Clinical photographs demonstrate complete resolution of the prominence on her back with normal standing posture and increase in torso height.