Successful delivery of two Nigerian women with severe kyphoscoliosis: a case report

Rashidat O. Adeoti; Olanike A. Koleosho-Ademua; Adeoye Allen-Taylor; Oladipo O. Aremu

doi:10.18203/2320-1770.ijrcog20262559

Authors

Rashidat O. Adeoti Department of Obstetrics and Gynecology, Ring Road State Hospital, Ibadan, Oyo State, Nigeria
Olanike A. Koleosho-Ademua Department of Anesthesia, Ring Road State Hospital, Ibadan, Nigeria
Adeoye Allen-Taylor Department of Orthopedics, Ring Road State Hospital, Ibadan, Oyo State, Nigeria
Oladipo O. Aremu Department of Obstetrics and Gynecology, Ring Road State Hospital, Ibadan, Oyo State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20262559

Keywords:

Pregnancy, Severe kyphoscoliosis, Case report

Abstract

Severe kyphoscoliosis is rare in pregnancy and increases cardiopulmonary and obstetric risks, including malpresentation and operative delivery. With multidisciplinary care, good outcomes are possible. Two Nigerian women with severe kyphoscoliosis were managed early in pregnancy. The first, a 24-year-old with a Cobb angle of 52.8° and twin gestation, developed respiratory discomfort and delivered healthy twins by caesarean section under spinal anaesthesia at 36 weeks. The second, a 35-year-old with a 75° Cobb angle, remained stable and delivered a healthy term neonate by caesarean under general anaesthesia. Severe kyphoscoliosis is not an absolute contraindication to pregnancy; early multidisciplinary care enables safe outcomes.

References

McCool FD. Diseases of the diaphragm, chest wall, pleura, and mediastinum. In: Goldman L, Schafer AI, editors. Goldman’s Cecil Medicine. 24th ed. Philadelphia: W.B. Saunders; 2012.

Weinberger SE, Cockrill BA, Mandel J. Disorders of the respiratory pump. In: Weinberger SE, Cockrill BA, Mandel J, editors. Principles of Pulmonary Medicine. 6th ed. Philadelphia: W.B. Saunders; 2014.

Shashikiran, Bala R. Management of kyphoscoliotic pregnant patient presenting with impending respiratory failure: a case report. J Obstet Anaesth Crit Care. 2021;11(2):112-4.

Kim T, Lee H, Chung S, Hwang S, Kim J. Woman giving birth with kyphoscoliosis spinal cord injury and placenta previa: a case report. J Med Cases. 2012;3:5.

Yim R, Kirschner K, Murphy E, Parson J, Winslow C. Successful pregnancy in a patient with spinal muscular atrophy and severe kyphoscoliosis. Am J Phys Med Rehabil. 2003;82(3):222-5.

Horng MH, Kuok CP, Fu MJ, Lin CJ, Sun YN. Cobb angle measurement of spine from X-ray images using convolutional neural network. Comput Math Methods Med. 2019;2019:6357171.

Chhetry M, Banerjee B, Subedi S, Gharti Chhetri NB, Gupta Y. Challenges in the caesarean section of a severely kyphotic parturient. Case Rep Obstet Gynecol. 2016;2016:8405052.

Deshmukh S, Mahanta D, Roshni Y, Jena S. Anesthetic challenges in a pregnancy case with congenital kyphoscoliosis. Cureus. 2024;16(5):e61269.

Thompson SK, Williams KP. Kyphoscoliosis and pregnancy: a case report and review of the literature. J Obstet Gynaecol Can. 2000;22(5):363-5.