The authors review the management of thoracolumbar kyphotic deformity in cases of achondroplasia. The presence of angular thoracolumbar kyphosis in achondroplasia is well recognized. In children this is initially a nonfixed deformity that persists, however, in more than 10% of individuals and becomes a fixed thoracolumbar kyphotic deformity. Additionally, with the coexistent spinal canal stenosis, neurological damage can occur and manifest as spinal cord or cauda equina compression. The nature of this condition, the natural history, and management options are discussed. Anatomical and biomechanical factors relevant to the condition are specifically highlighted. Avoidance of pitfalls in the management of these patients is discussed for both pediatric and adult patients.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
80% Article relates to my practice (4/5)
20% Article does not relate to my practice (1/5)
0% Undecided (0/5)

Will this article lead to more cost-effective healthcare?

100% Yes (5/5)
0% No (0/5)
0% Undecided (0/5)

Was this article biased? (commercial or personal)

0% Yes (0/5)
80% No (4/5)
20% Undecided (1/5)

What level of evidence do you think this article is?

0% Level 1 (0/5)
0% Level 2 (0/5)
20% Level 3 (1/5)
20% Level 4 (1/5)
60% Level 5 (3/5)