International Journal of Research in Medical Sciences | February 2019 | Vol 7 | Issue 2 Page 613 International Journal of Research in Medical Sciences Yudistira A et al. Int J Res Med Sci. 2019 Feb;7(2):613-615 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 Case Report Correction of kyphotic deformity due to neglected fracture dislocation thoracolumbar spine with posterior vertebral column resection Andhika Yudistira, Syaifullah Asmiragani, Ery Satriawan* INTRODUCTION Kyphotic deformity is serious problem for sagittal spinal balance and resulting back pain, neurologic impairment, and cosmetic problem. The etiologies of kyphosis include degerative disc disease, neuromuscular disease, spinal tumors, post-traumatic and surgical iatrogenic causes. 1,2 Post traumatic kyphotic deformity most common occur following unstable spine. Laminectomy as an isolated procedure for spinal cord decompression in burst fracture or fracture dislocation should not be performed as it increase instability, promotes neurological deficits and progression of khyposis. 3,4 We reporting a case of progressive after traumatic kyphotic deformity due to fracture dislocation which was performed laminectomy without posterior instrumentation. CASE REPORT A 34-years-old female was admitted to the hospital due to pain in the back and unable to move both lower extremity since 1 year previously. Patient brought to the hospital and underwent surgery. Previous surgery just performed laminectomy for neural decompression without any reduction and instrumentation. From the initial thoracolumbar x-ray after trauma, there was fracture dislocation of thoracic XII-lumbar I vertebra with regional Cobb’s angle 30 degrees and progression of khyposis became 50 degrees (Figure 1). We performed posterior decompression, posterior instrumentation and kyphotic deformity correction by total poterior spondylectomy (VCR) of vertebra lumbar I and anterior column bone graft using corticocancelous graft (fibula). There was no laceration nor transection of spinal cord (Figure 2). One day after surgery, patient recovered well without any complication. From the thoracolumbar radiograph, cobb’s angle was decreased to 12 degrees. One week after surgery, patient started to feel burning sensation in both lower leg and also pain was decrease significantly with ABSTRACT Kyphotic deformity is serious problem for sagittal spinal balance and resulting back pain, neurologic impairment, and also cosmetic problem. Post traumatic kyphotic deformity most common occur following unstable spine. A circumferential approach with anterior release via discectomies and corpectomies, followed by posterior instrumentation and fusion has been the standard of care. This is a case of progressive post traumatic kyphotic deformity due to fracture dislocation which was performed laminectomy without posterior instrumentation and succesfully corrected with single step posterior vertebral column resection. Keywords: Kyphotic deformities, Laminectomy, Posterior vertebral column resection, Thoracolumbar fracture- dislocation Spine Division of Department of Orthopedic & Traumatology, Brawijaya University, Saiful Anwar General Hospital Malang, East Java, Indonesia Received: 18 November 2018 Accepted: 29 December 2018 *Correspondence: Dr. Ery Satriawan, E-mail: ery_triple8@yahoo.co.id Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20190366