Navigating Complex Thoracic Spinal Deformity: A Multifaceted Analysis of Life Quality Impacts and Emerging Therapeutic Approaches - Case Report of a 47-Year-Old Man

Abstract

This case report presents a 47-year-old male with severe thoracic scoliosis measuring 80 degrees and significant kyphosis. The patient reported chronic back pain, restricted mobility, compromised cardiopulmonary function, low self-esteem, and limited activities. Radiographs confirmed the deformity without congenital anomalies. Adult spinal deformities pose challenges due to skeletal maturity. Non-operative management has limited effectiveness for severe cases. Surgery risks must be weighed against benefits. Novel understandings of spinal biomechanics may enable less invasive corrections. The profound impacts of deformity on quality of life were demonstrated. A comprehensive, individualized approach is needed. Ongoing research may improve outcomes and redefine care standards.

Keywords: Congenital abnormalities; kyphosis; radiography; scoliosis.

Figure 1

(a) Illustrates normal spinal anatomy, while (b) showcases various spinal deformities

Figure 2

This figure illustrates the multiple complications of extreme thoracic scoliosis, including impaired cardiopulmonary, psychological issues, and significant postural deformities. These complications highlight the extensive impact of severe spinal curvature on overall health and well-being

Figure 3

Anteroposterior view of a 47-year-old male patient, demonstrating an 80-degree thoracic scoliosis and significant kyphotic deformity

Figure 4

Lateral thoracic radiograph demonstrating severe costal deformity and pronounced thoracic kyphosis