Kyphectomy for severe @entity1513 with XXXX associated with myelomeningocele: a case report.

@entity1 @entity3570 @entity1066 @entity1513 @entity1511 @entity281 @entity52485 @entity85
A 32-year-old @entity1 was referred to our hospital for a refractory @entity1066 on her back. She had a history of myelomeningocele with @entity3570 that was treated surgically at birth. The @entity1066 was located at the apex of the @entity1513 . An X-ray film revealed a @entity1513 of 154   between @entity52485 and a scoliosis of 60   between T11 and L5. Computed tomography, magnetic resonance imaging and laboratory data indicated the presence of a @entity1511 at L2/3. To correct the @entity1513 and remove the infected vertebrae together with the skin @entity1066 , kyphectomy was performed. Pedicle screws were inserted from T8 to T12 and from L4 to S1. The dural sac was transected and ligated at L2, followed by total kyphectomy of the L1-L3 vertebrae. The spinal column was reconstructed by approximating the ventral wall of the T12 vertebral body and the cranial endplate of the L4 vertebra. Postoperatively, the @entity1513 was corrected to 61   and the scoliosis was corrected to 22  . In the present case, we treated the skin @entity1066 and @entity1511 successfully by kyphectomy, thereby, preventing recurrence of the @entity1066 and @entity281 , and simultaneously obtaining sufficient correction of the @entity85 .
