Correction of severe sagittal deformation
– The world's first osteotomy spinal deformation patients
Kyung Hee University International Medical Service
The patient received a new life after several major spinal operations. A 48-year-old patient visited the center of the Kyung Hee University's Internal Medicine Service, with chin-chest deformity, severe thoracolumbar kyphosis, and ankylosis of both hip joints. It was impossible to actively live daily due to severe kyphosis, and his oral hygiene was very poor due to chin chest deformity. Even looking straight ahead, it was impossible for him to dream for 15 years before surgery.
Operations were conducted by Professor Kim Ki-tack, M.D. with other orthopedic surgery staff at Kyung Hee University International Medical Service. His spine was over 165 degrees Celsius and spinal deformation was detected after several operations in 7 months. Leaving the hospital door, he managed to be inclined to sit at the meal and look straight ahead.
All operations were performed under bronchoscopic intubation. Since he could not be inclined, first, both the hip resection arthroplasty and the post-cervical osteotomy were performed after 3 weeks. After these operations, there was a chance to take note, so the medical staff could have a posterior thoracolum osteotomy. Approximately 2 weeks after cervical osteotomy, the posterior spine resection and the osteotomy of the lumbar support were performed. After 3 weeks, both hip joint and hip arthroplasty were performed. All operations were planned later. After 6 months of observation, he was able to look straight ahead with self-indignation. With systematic planning of strategic operations, successful adjustments can be made without major complications.
Additional surgeries were required, such as Latissimus dorsi muscle flap and right hip revolution arthroplasty due to pressure pain on the back and recurring dislocation.
This severe spinal deformation has never been reported as "cured", and all operations, including the additional operations it has performed, require a high level of medical knowledge. Professor Kim and his team were all highly qualified surgeons with extensive experience in spinal deformation and osteotomy. This case was reported as the first successful correction of severe sagittal deformation in the world.
This case will be published in well-known international medical journals, including SPINE.