The Treatment of Flexion Myelopathy of the Thoracic Spine in Pierre Robin Sequence: A Case Report
Sombat Kunakornsawat MD*, Vera Sathira-Angkura MD*, Thavat Prasartritha MD*, Weera Sudprasert MD**, Rachata Tungsiripat MD***
Affiliation : * Center of Excellence in Orthopedics, Lerdsin General Hospital, Bangkok, Thailand ** Korat Orthopedic Excellent Center, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand *** Department of Orthopedics, Ramkhamhaeng Hospital, Bangkok, Thailand
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
