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Surgical Correction of Severe Kyphoscoliosis Associated with Crouzon Syndrome with Serious Postoperative Respiratory Problems

A Case Report

Umezu, Taro, MD1; Fujita, Nobuyuki, MD, PhD1; Yagi, Mitsuru, MD, PhD1; Tsuji, Osahiko, MD, PhD1; Nagoshi, Narihito, MD, PhD1; Ishii, Ken, MD, PhD2; Nakamura, Masaya, MD, PhD1; Matsumoto, Morio, MD, PhD1; Watanabe, Kota, MD, PhD1,a

doi: 10.2106/JBJS.CC.17.00011
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Disclosures

Case: A 12-year-old girl with Crouzon syndrome presented to our hospital with scoliosis (114°) and kyphosis from T8 to T12 (138°). After she had been in halo-gravity traction for 2 weeks, we performed posterior correction and fusion surgery from T3 to L3, with a posterior vertebral column resection of T10. She experienced postoperative respiratory failure and remained on a ventilator for 4 weeks. With rehabilitation, the respiratory function had recovered by postoperative week 8. At the 2-year follow-up, there was no loss of correction or any other complication.

Conclusion: Serious perioperative respiratory complications may occur when a patient with Crouzon syndrome is treated surgically.

1Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan

2Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan

aE-mail address for K. Watanabe: kw197251@keio.jp

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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