Total en-bloc spondylectomy for correcting congenital kyphosis

Study design: A case report of congenital kyphosis corrected using a total en-bloc spondylectomy. Objectives: To report a new surgical technique for the treatment of congeni tal kyphosis with myelopathy. Setting: Department of Orthopedic Surgery, Akita University School of Medic ine, Akita, Japan. Methods: A 16-year-old boy who showed a 61 degrees angular kyphosis and a 3 2 degrees scoliosis from Tb to T9 due to the failure of the vertebral bodie s formation in T7 and Ts was treated with a total en-bloc spondylectomy. Results: The kyphosis was corrected to 26 degrees (57.3%) and the scoliosis was corrected to 5 degrees (84.4%) postoperatively. Three years postoperat ively, no loss of correction has occurred and the patient has no complaints . Conclusions: Total en-bloc spondylectomy is one of the useful surgical proc edures for correction of congenital kyphosis Type I, with a high correction rate.