脊柱畸形，包括严重的驼背和脊柱侧弯，与食管裂孔疝多发生在老年人。有文献报道，脊柱畸形是食管裂孔疝的诱因之一。严重的脊柱畸形会导致肺功能下降，腹腔容积减少，腹壁顺应性降低，从而使食管裂孔疝修补困难，手术并发症增加。本文报道2例严重脊柱畸形，长期进食困难，靠静脉营养和鼻肠管营养的食管裂孔疝患者的救治过程。对于食管裂孔疝伴有严重脊柱畸形的患者，需要完善的术前检查和相关准备，可以获得好的疗效。

Spinal abnormalities and hiatal hernias are becoming more common in our aging population. Increasing evidence has shown that the presence of kyphoscoliosis would increase hiatal hernia formation. Kyphoscoliosis has been shown to lead to decreased quality of life, poor pulmonary function, and restrict abdominal compliance. All of these factors have the potential to increase morbidity and mortality associated with the surgical repair of hiatal abnormalities. In the present we reported two cases of hiatal hernias repair in kyphoscoliosis patients, with a prolonged duration of malnutrition due to inability to eat, and received nasogastric tube feeding or total parenteral nutrition (TPN). Operative planning and subsequent hiatal hernia repair must be undertaken in the context of these spinal abnormalities.