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  • Title: [Surgical management of severe thoracic lordosis in myelomeningocele--a case report with review of the literature].
    Author: Niemeyer T, Liljenqvist U, Halm H.
    Journal: Z Orthop Ihre Grenzgeb; 1998; 136(5):463-6. PubMed ID: 9823644.
    Abstract:
    While scoliosis and kyphosis are the most common spinal deformities in patients with myelomeningocele, single lordotic deformitics are rare. There are only few reports about the operative treatment of a primary thoracic lordosis of -135 degrees Cobb angle. By means of a dorso-ventral-dorsal procedure correction and stabilisation of the lordotic deformity was performed. A correction of -26 degrees Cobb angle was achieved without loss of correction during follow up of 18 months. The case report shows that in individual cases even severe lordotic deformities can be treated with surgery successfully. An anterior-posterior procedure should be considered. The case is discussed with the rare national and international literature.
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