J Med Assoc Thai 2015; 98 (10):1041

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The Treatment of Flexion Myelopathy of the Thoracic Spine in Pierre Robin Sequence: A Case Report
Kunakornsawat S Mail, Sathira-Angkura V , Prasartritha T , Sudprasert W , Tungsiripat R

Background: A few studies had reported the spinal deformity associated with neurological symptoms in PRS patients.

Objective: To report the management of myelopathy from flexible thoracic kyphoscoliosis in Pierre Robin sequence (PRS) patient.

Material and Method: A 15-year-old PRS patient with thoracic kyphoscolsis developed myelopathy symptom for 4 months. Posterior instrumentation (Cotrel-Dubousset) from T1-T9 was done to correct her deformity without decompression.

Results: Her motor power improved to grade 5/5 two months after operation. Her urological symptom returned to normal at 4-month postoperatively.

Conclusion: Myelopathy from flexible kyphotic deformity in PRS patients can be successfully treated by posterior correction and fusion without decompression.

Keywords: Pierre Robin sequence (PRS), Spinal deformity, Myelopathy


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