Introduction: Kyphosis is a frequent problem in children with spina bifida, and this deformity may cause different complications as respiratory insufficiency, bowel dysfunction, and skin ulcers. Case report: We report on a 13-year-old myelomeningocele male with a lumbar kyphoscoliosis associated to a septic skin ulceration that resulted in an acute sepsis. An X-ray revealed a kyphosis of 110° and a scoliosis of 25° between T9 and L5. The wound and blood cultures showed Staphylococcus aureus colonization, and an appropriate antibiotic therapy was started. An MRI showed a wedged vertebra at T12, a laminae defects from T8 to the sacrum, and a spondylitis at T12-L1. Ulcer resection and kyphectomy from T12 to L3 were performed “en bloc,” and the spine was instrumented fromT7 to S1. After the surgery, the kyphosis was corrected to 10°, and the scoliosis was corrected to 0°. At an 18-month follow-up, a solid bony fusion was obtained, and no recurrence of skin ulcer was reported. Conclusion: Antibiotherapy associated to one-step “en-bloc” surgical debridement and kyphectomy should be considered as a valid option to eradicate the infection and to correct the spine deformity in kyphosis due to myelomeningocele associated to septic skin ulcer and spondylitis.

Vibert, B., Turati, M., Rabattu, P., Bigoni, M., Eid, A., Courvoisier, A. (2018). Congenital lumbar kyphosis with skin ulceration and osteomyelitis in a myelomeningocele child: a case report. CHILDS NERVOUS SYSTEM, 34(4), 771-775 [10.1007/s00381-017-3598-4].

Congenital lumbar kyphosis with skin ulceration and osteomyelitis in a myelomeningocele child: a case report

Turati, M
;
Bigoni, M;
2018

Abstract

Introduction: Kyphosis is a frequent problem in children with spina bifida, and this deformity may cause different complications as respiratory insufficiency, bowel dysfunction, and skin ulcers. Case report: We report on a 13-year-old myelomeningocele male with a lumbar kyphoscoliosis associated to a septic skin ulceration that resulted in an acute sepsis. An X-ray revealed a kyphosis of 110° and a scoliosis of 25° between T9 and L5. The wound and blood cultures showed Staphylococcus aureus colonization, and an appropriate antibiotic therapy was started. An MRI showed a wedged vertebra at T12, a laminae defects from T8 to the sacrum, and a spondylitis at T12-L1. Ulcer resection and kyphectomy from T12 to L3 were performed “en bloc,” and the spine was instrumented fromT7 to S1. After the surgery, the kyphosis was corrected to 10°, and the scoliosis was corrected to 0°. At an 18-month follow-up, a solid bony fusion was obtained, and no recurrence of skin ulcer was reported. Conclusion: Antibiotherapy associated to one-step “en-bloc” surgical debridement and kyphectomy should be considered as a valid option to eradicate the infection and to correct the spine deformity in kyphosis due to myelomeningocele associated to septic skin ulcer and spondylitis.
Articolo in rivista - Articolo scientifico
Kyphectomy; Myelomeningocele; Pedicle screw fixation; Skin ulcer;
Kyphectomy; Myelomeningocele; Pedicle screw fixation; Skin ulcer
English
771
775
5
Vibert, B., Turati, M., Rabattu, P., Bigoni, M., Eid, A., Courvoisier, A. (2018). Congenital lumbar kyphosis with skin ulceration and osteomyelitis in a myelomeningocele child: a case report. CHILDS NERVOUS SYSTEM, 34(4), 771-775 [10.1007/s00381-017-3598-4].
Vibert, B; Turati, M; Rabattu, P; Bigoni, M; Eid, A; Courvoisier, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/170149
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