Study design: Case report with ultra long-term follow-up.
Objective: To show the long-term positive benefits of an arthrodesis at age 3 years.
Summary of background data: To our knowledge, there have been no previous reports of a 50-year follow-up of a posterior spine fusion for severe congenital kyphosis and segmental spinal dysgenesis.
Methods: Chart and radiographic documentation of both the preoperative, postoperative, and 50-year follow-up.
Results: Solid arthrodesis was achieved after a pseudarthrosis repair. Major correction was achieved and paraplegia prevented. Despite a long fusion to the sacrum, there was no junctional or sacroiliac degeneration.
Conclusions: Arthrodesis at age 3 years provided an optimal ultra long-term follow-up.