• Mohsen Karami and Behrooz A Akbarnia.
• Department of Orthopedics, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Taleghani Educational Hospital, Tabnak St. Velenjak Region, Chamran High Way, Tehran, Iran. mn.karami@gmail.com.
• Eur Spine J. 2022 Dec 1; 31 (12): 371337183713-3718.

PurposeTo propose an alternative method of surgical technique to address gibbus deformity in meningomyelocele with open wound simultaneously.MethodsWe report a rare case of an 8-year-old girl with a refractory skin breakdown on her gibbus deformity, which underwent an Ilizarov kyphectomy technique to address her skin breakdown, and spinal deformity at the same time, while planning a definitive fusion in the future.ResultsThe patient was followed up for about 5 years. Her spine and overlying skin seem stable and no definite fusion has been offered to the patient so far.ConclusionIlizarov kyphectomy technique is an alternative procedure that can provide a safe and effactive method to address severe kyphosis deformity with skin breakdown. However, a comparison should be drawn to other procedures, while including more patients with longer follow-up.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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