PMC10154059_01
Pre-op X-rays LL and AP showing the severe congenital deformity.
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CT-scan and 3D reconstruction showing L1 hemivertebrae with anterior wedge deformity and T12 incomplete malformation.
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MRI of the abdomen shows the aplasia of the uterus and vagina.
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Magnetic resonance imaging of the abdomen showed aplasia of the uterus (Fig. 3) and upper two-thirds of the vagina, the presence of mullerian remnants, hypoplastic ovaries, hypoplastic right kidney with calyx changes.
MRI showing T11-T12 disc herniation and medullary compression form T11 to L1 with myelopathy.
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An MRI was performed, which demonstrated thoracic myelopathy caused by a T11-T12 disc herniation (Fig. 4); this occurrence is typically associated to wedge deformity of thoracolumbar vertebra..
Intra-operative corrective manoeuvres. Compression manoeuvres and bending in situ of the rod were alterne performed until complete deformity correction.
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Post-op X-rays LL and AP showing a good deformity correction and sagittal balance restoration.
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In five days, the patient was able to walk with a brace; postoperative X-Rays (Fig. 6) showed optimal restoration of sagittal profile.
Deformity correction entity.
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