2025, Vol. 7, Issue 2, Part E
Beyond the curve: Preoperative detection of inferior vena cava agenesis prevents high-risk thoracic kyphosis correction
Author(s): Harris Mangal, David Felzensztein and Eyal Itshayek
Abstract: A 20-year-old male presented with progressive mid-to-upper back pain, fatigue, and psychological distress related to posture and self-image. Radiographs demonstrated severe, flexible thoracic kyphosis (87°, apex T
9-T
10). Cross-sectional imaging unexpectedly revealed congenital agenesis of the inferior vena cava (IVC) with extensive collateral venous channels and epidural venous engorgement. Planned elective spinal deformity correction was cancelled after multidisciplinary review due to prohibitive bleeding risk. This case illustrates that beyond spinal alignment, meticulous evaluation of vascular anatomy and individualised risk stratification are essential in deformity surgery. Early detection of vascular anomalies enables safer decision-making while ensuring the patient
’s functional and psychosocial needs are balanced against operative risk.
DOI: 10.22271/27078345.2025.v7.i2e.301Pages: 284-287 | Views: 36 | Downloads: 17Download Full Article: Click Here
How to cite this article:
Harris Mangal, David Felzensztein, Eyal Itshayek.
Beyond the curve: Preoperative detection of inferior vena cava agenesis prevents high-risk thoracic kyphosis correction. Int J Case Rep Orthop 2025;7(2):284-287. DOI:
10.22271/27078345.2025.v7.i2e.301
