Application of neurophysiological studies for diagnosis and justification of neurosurgical treatment of kyphotic deformity due to the congenital anomaly of the spine

The results of a comprehensive clinical, radiological and neurophysiological study were analyzed in patients with kyphotic deformity of the thoracic and lumbar spine due to a congenital anomaly of vertebral development in the dynamics of surgical treatment. It has been established that congenital kyphotic spinal deformity is accompanied by vertebromedullary conflict with a high risk of the occurrence and/or worsening of spinal neurological disorders. The study of the data obtained made it possible to evaluate deformation lesions of the spine from the standpoint of qualitative and quantitative severity of pathological changes in the conduction function in the system of nervous tracts of the spinal cord, which was an objective argument in justifying the indications for surgical correction and its methodological implementation, as well as an important neurophysiological criterion for subsequent dynamic monitoring of clinical conditions of a patient. It was found that the surgical treatment allowed us to improve and subsequently stabilize the functional state of the spinal cord as a consequence of the achieved significant correction of congenital kyphotic spinal deformity.