Rare case of Pectus excavatum, kyphoscoliosis associated with thoracolumbar spinal stenosis reported

The researchers reported a 26-year-old woman presented bilateral lower extremities weakness and numbness for two months, progressive worsening. She has been diagnosed as thoracolumbar spinal stenosis with ossification of the ligamentum flavum, and thoracolumbar kyphoscoliosis associated with pectus excavatum. The posterior instrumentation, decompression with laminectomy, and de-kyposis procedure with multilevel ponte osteotomy were performed. Her postoperative course was uneventful and followed up regularly. Good neurologic symptoms improvement and spinal alignment were achieved.

Thus, the researchers concluded that pectus excavatum, kyphoscoliosis associated with thoracolumbar spinal stenosis is rare, and thus her treatment options are very challenging. Extensive laminectomy decompression and de-kyphosis procedures can achieve good improvement of neurologic impingement and spinal alignment.

Reference:

Zhao, S., Xue, X., Li, K. et al. Pectus excavatum, kyphoscoliosis associated with thoracolumbar spinal stenosis: a rare case report and literature review. BMC Surg 22, 266 (2022). https://doi.org/10.1186/s12893-022-01716-7