Objective: To summarize the treatment experience of congenital kyphosis, compare the results of several surgical procedures and conclude the lessons of failure cases with surgical treatment.
Methods: Retrospective analysis of 33 patients with surgical treatment of congenital kyphosis. These patients had a follow-up of 6 months to 14 years with an average follow-up of 5 years and 6 months.
Results: Among the 33 cases, the average age at surgery was 16.5 years old and the average kyphosis was 90.2 degrees. Four had anterior fusion, and 7 had posterior fusion only, and 22 had combined anterior and posterior fusion. The percentage of correction of the 3 procedures above mentioned was 32.7%, 34.4% and 41.2% respectively. All of the patients with incomplete paraplegia, but 2 had been recovered completely.
Conclusions: The combined anterior and posterior fusion had a better correction than the anterior group or posterior group alone.