Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.523
Peer-review started: April 12, 2020
First decision: August 23, 2020
Revised: September 7, 2020
Accepted: October 5, 2020
Article in press: October 5, 2020
Published online: November 18, 2020
The correction surgery for severely multidimensional spinal deformity in neurofibromatosis type I is very difficult and it is still a very big challenge for spine surgeons.
A 44-year-old woman presented with progressive kyphosis for more than 10 years and low back pain for 2 years. She had been diagnosed with neurofibromatosis at a local hospital many years ago. Conservative treatments had been applied, but the symptoms got worse rather than alleviated. Therefore, surgery was required.
For this patient with severe deformity, the correction treatment of Ponte osteotomy followed by satellite rod technique in the region of the apical vertebra and the technique of pedicle screws and dual iliac screws had been applied, and successful clinical outcomes were achieved.
Core Tip: The neurofibromatosis type I (NF-I) dystrophic spinal deformity can be very severe. Thus, sufficient and exquisite preoperative assessment is significantly important for the correction surgery. In this study, we creatively performed a modified surgery for a patient with NF-I dystrophic spinal deformity.