Kyphoscoliosis complicating pregnancy: maternal and neonatal outcome.

OBJECTIVE

To assess the outcome of pregnancies complicated by kyphoscoliosis in modern obstetric and orthopedic care.

METHODS

A total of 22 kyphoscoliotic patients with 34 pregnancies were identified from 46,828 pregnancies between 1998 and 2009. Their obstetric records and associated orthopedic problem were studied.

RESULTS

The incidence of kyphoscoliosis complicating pregnancy was 0.072%. The mean age of the patients in their index pregnancy was 28.4 years (range 23-35), mean height 130 cm (range 125-138). The cause of kyphoscoliosis included idiopathic (majority), poliomyelitis and traumatic injury. Only 1 of the patient had previous spinal surgery. The cesarean rate was very high and none had any significant cardiorespiratory problem during anesthesia. There was no maternal or perinatal mortality.

CONCLUSIONS

The high maternal and perinatal risks associated with kyphoscoliosis reported earlier no longer exist.