Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review
BackgroundGorham–Stout syndrome is an uncommon condition with a varied clinical presentation and unclear cause that is characterised by a proliferation of lymphatic capillaries and severe regional osteolysis. Spinal and visceral involvement increases the syndrome's morbidity and mortality rates...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.981025/full |
| _version_ | 1811314558858428416 |
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| author | Hanwen Zhang Chaofan Han Daming Pang Hai Yong Jincai Yang Peng Yin Lijin Zhou |
| author_facet | Hanwen Zhang Chaofan Han Daming Pang Hai Yong Jincai Yang Peng Yin Lijin Zhou |
| author_sort | Hanwen Zhang |
| collection | DOAJ |
| description | BackgroundGorham–Stout syndrome is an uncommon condition with a varied clinical presentation and unclear cause that is characterised by a proliferation of lymphatic capillaries and severe regional osteolysis. Spinal and visceral involvement increases the syndrome's morbidity and mortality rates. Here, we report about a male patient with Gorham's disease who developed local kyphosis and neurological disorders due to massive osteolysis.Case presentationA 13-year-old male patient presented with progressive kyphosis and massive osteolysis of the thoracic vertebrae. Halo-pelvic traction and vertebral column resection osteotomy were performed to reconstruct the spine and prevent disease progression. The entire lesion was resected, and an artificial vertebra filled with allograft bone was used to achieve temporary stability. Although the patient presented with chylothorax following surgery, which required thoracic drainage, the patient did achieve a satisfying outcome.ConclusionsLimited by the number of GSS cases with spinal involvement and chylothorax manifestations, halo-pelvic distraction as a preoperative preparation and vertebral column resection osteotomy provide a novel avenue for managing this disease. |
| first_indexed | 2024-04-13T11:13:46Z |
| format | Article |
| id | doaj.art-cb12617d66414c27aa98e25d2d1d5d27 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T11:13:46Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-cb12617d66414c27aa98e25d2d1d5d272022-12-22T02:49:02ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.981025981025Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature reviewHanwen ZhangChaofan HanDaming PangHai YongJincai YangPeng YinLijin ZhouBackgroundGorham–Stout syndrome is an uncommon condition with a varied clinical presentation and unclear cause that is characterised by a proliferation of lymphatic capillaries and severe regional osteolysis. Spinal and visceral involvement increases the syndrome's morbidity and mortality rates. Here, we report about a male patient with Gorham's disease who developed local kyphosis and neurological disorders due to massive osteolysis.Case presentationA 13-year-old male patient presented with progressive kyphosis and massive osteolysis of the thoracic vertebrae. Halo-pelvic traction and vertebral column resection osteotomy were performed to reconstruct the spine and prevent disease progression. The entire lesion was resected, and an artificial vertebra filled with allograft bone was used to achieve temporary stability. Although the patient presented with chylothorax following surgery, which required thoracic drainage, the patient did achieve a satisfying outcome.ConclusionsLimited by the number of GSS cases with spinal involvement and chylothorax manifestations, halo-pelvic distraction as a preoperative preparation and vertebral column resection osteotomy provide a novel avenue for managing this disease.https://www.frontiersin.org/articles/10.3389/fsurg.2022.981025/fullgorham-Stout syndromehalo-pelvic tractionVCRs osteotomychylothorax thoracic kyphosisspine deformity |
| spellingShingle | Hanwen Zhang Chaofan Han Daming Pang Hai Yong Jincai Yang Peng Yin Lijin Zhou Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review Frontiers in Surgery gorham-Stout syndrome halo-pelvic traction VCRs osteotomy chylothorax thoracic kyphosis spine deformity |
| title | Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review |
| title_full | Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review |
| title_fullStr | Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review |
| title_full_unstemmed | Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review |
| title_short | Surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with Gorham–Stout syndrome: A case report and literature review |
| title_sort | surgical treatment of severe thoracic kyphosis and neurological deficit in a patient with gorham stout syndrome a case report and literature review |
| topic | gorham-Stout syndrome halo-pelvic traction VCRs osteotomy chylothorax thoracic kyphosis spine deformity |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.981025/full |
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