PMC5228665_01
The patient could not walk independently and required a wheelchair for movement.
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F1
No improvement in spinal cord function was achieved with conservative measures, and the patient gradually lost the ability to walk and required a wheelchair for movement (Fig. 1).
Preoperative scoliosis radiography showed coronal and thoracic kyphosis Cobb's angles of 70  and 170 , respectively.
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F2
The patient's preoperative coronal and sagittal thoracic kyphosis Cobb's angles were 70  and 170 , respectively (Fig. 2).
Preoperative 3D CT scans showing extremely severe postlaminectomy thoracic kyphotic deformity and posterior spinal fusion. 3D CT = three-dimensional-computed tomography.
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F3
T6 vertebra and previous spinal fusion (Fig. 3); magnetic resonance imaging (MRI) of the spinal canal revealed spinal cord compression at the apex of the kyphosis (Fig. 4).
Intra-operative photograph showing posterior vertebral column resection (T6) performed and posterior spinal fusion with pedicle screw fixation from T2 to L3.
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F5
T6 for spinal cord decompression, deformity correction, and posterior spinal fusion from T2 to L3 (Fig. 5). The autograft and allograft were used for posterior final spine fusion.
At the final follow-up, long-standing scoliosis radiographs revealed the coronal main curve was corrected to 21  and sagittal kyphosis curve to 75 .
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F6
Long-standing scoliosis radiographs demonstrated that the major curve at coronal plane was improved to 20  immediately after surgery and 21  (correction rate, 70%) at final follow-up; the thoracic sagittal kyphosis curve was improved to 76  immediately after surgery and 75  (correction rate, 55.9%) at the final follow-up (Fig. 6).
Clinical photographs showing overt improvement at the final follow-up.
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F7
Postoperative clinical photographs showed overt improvement (Fig. 7).