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M/33

C.C.> Deformity, spine
Progressive weakness, both lower extremities

BHx> 초등학교 때 등이 휘어있음을 발견
고등학교 때부터 하지위약과 보행이상 생김
2-3년 전부터 하지위약과 보행이상 심해짐

P/E> Hip flexor 5-/5+
Hip extensor 4+/4+
Hip adductor 4/5-
Quad 5-/5+
Hamstring 4+/4+
TA 5+/5+
Triceps 5+/5+
EPH, EDL 5/5+
FHL, FDL 5/5+

Sensory L1-2 100/100
L3 50/100
L4 20/100
L5 20/90
S1-S3 100/100
S4-5(perianal sense) 85

Circulation DPA ++/++ PTA ++/++

DTR K/J +++/+++ A/J +++/+++
Babinski ±/± Ankle Clonus +/+
Supf abd reflex +++/+++

X-ray> Kyphosis, T7,8,9

MRI> Kyphosis with vertebral body fusion, T7-8-9
and cord compression with spinal cord atrophy, T7-8-9
Old Tbc squelae, more likely

Impression> 1. Kyphosis with vertebral body fusion, T7-8-9
2. Compressive myelopathy, T7-8-9

Treatment> Op. was done;
Anterior approach & decancellation osteotomy with stabilization