Correction of kyphosis in cases of very advanced curvatures is performed from two accessions - the posterior and the anterior. First, an anterior access to the spine is performed, which, to be precise, is carried out laterally, in the intercostal spaces, often with the excision of one rib. From this access, the thoracic spine is exposed and the intervertebral discs are removed at several levels, which increases the mobility of the spine and gives the opportunity for much better correction from the posterior approach. Bone grafts or specially designed implants are placed in the spaces left by the removed discs.
After the anterior release, the patient is turned over onto the abdomen and the transpedicular screws are inserted from the posterior approach and corrected and stabilized on the bars.
1. X-ray before - AP projection.
2. X-ray before - lateral projection.
3/4. 3/4. Silhouette before treatment.
5/6. 5/6. Silhouette before treatment.
7. X-ray after - lateral projection.
8. X-ray after - AP projection.
9/10/11. Post-correction silhouette.
X-ray pictures and before and after treatment of another case of kyphotic curvature of the spine:
12. X-ray post - lateral projection.
13. X-ray before AP.
14. RTG after AP.
15. X-ray after - lateral projection.
