Gibbus Deformities
It is characterized by the collapse of the anterior portion of one or more vertebral bodies, resulting in kyphosis.⠀ ⠀ ⏩Gibbus deformities arise most commonly from tuberculosis infection of the spine in the thoracic region but may also result from congenital anomalies including horseshoe kidney. ⠀ ⠀ ⏩Compression fractures and metabolic diseases such as mucopolysaccharidoses or cretinism have been implicated in the development of Gibbus deformities⠀ ✅Infection, congenital abnormalities, and metabolic disorders lead to bone weakness making vertebral bodies vulnerable to collapse⠀ ⠀ ⏩Preferential collapse of the anterior vertebral body leads to a wedge shape and progressive kyphosis characteristic of Gibbus deformities. Progressive kyphosis risks cord compression, myelopathy, and paraplegia if untreated⠀ ⠀ ⏩Treatment for Gibbus deformity, caused by infectious sources, requires both antibiotics to treat osteomyelitis as well as surgical correction which usually involve corpectomy, interbody cage placement, and posterior instrumentation and fusion. ⠀ ⠀ ⏩If treated promptly, patients typically improve following surgical correction, with one study demonstrating improvement in postoperative intervertebral height and kyphotic angulation correction from 2.1° to 27.1°⠀ ⠀ ⏩Treatment options differ between children and adults. Adults are commonly treated with posterior fusion with or without corpectomy and interbody cage placement, while surgery in children usually involves vertebral column resection and cage insertion with placement of bilateral vertical expandable prosthetic titanium ribs or rods. By: https://www.instagram.com/p/CeOF-3YhYki/?igshid=YmMyMTA2M2Y=