Pediatric iatrogenic thoracic kyphosis and tension myelopathy treated with a thoracic pedicle subtraction osteotomy: a case report and review of the literature

被引：2
作者：
Safain, Mina G. [1 ,2 ]
Engelberg, Rachel B. [1 ,2 ]
Riesenburger, Ron [1 ,2 ]
Kryzanski, James [1 ,2 ]
Jea, Andrew [3 ]
Hwang, Steven W. [1 ,2 ]
机构：
[1] Tufts Med Ctr, Dept Neurosurg, Boston, MA 02111 USA
[2] Tufts Univ, Sch Med, Boston, MA 02111 USA
[3] Texas Childrens Hosp, Baylor Coll Med, Dept Neurosurg, Houston, TX 77030 USA
来源：
CHILDS NERVOUS SYSTEM | 2014年 / 30卷 / 07期
关键词：
Kyphosis; Pediatric; Pedicle subtraction osteotomy; Tensionmyelopathy; Thoracic; SPINAL-CORD TUMORS; KYPHOTIC DEFORMITY; INTRAMEDULLARY TUMORS; SCHEUERMANNS DISEASE; POSTERIOR APPROACH; SMITH-PETERSEN; CHILDREN; LAMINOPLASTY; LAMINECTOMY; RESECTION;
D O I：
10.1007/s00381-014-2373-z
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Pediatric kyphotic deformity is an uncommon clinical entity that can occur following posterior spinal operations and has significant complexity in its treatment. Tension myelopathy in a pediatric patient with a thoracic kyphotic deformity has not been reported in the literature. We present a 17-year-old boy with a progressive thoracic kyphosis and tension myelopathy 4 years after he underwent a thoracic laminoplasty at an outside institution for the treatment of a dorsal spinal arachnoid cyst. At our institution, he was treated with a pedicle subtraction osteotomy as well as thoracic Ponte osteotomies for sagittal plane correction to relieve the tension myelopathy. Both clinical and radiographic improvements were observed after surgery. We review the literature on pediatric thoracic kyphosis and tension myelopathy and the treatment of these pathologies.
引用
收藏
页码：1293 / 1299
页数：7
相关论文
共 43 条
[1]   Postlaminoplasty Kyphotic Deformity in the Thoracic Spine: Case Report and Review of the Literature [J].
Amhaz, Hassan H. ;
Fox, Benjamin D. ;
Johnson, Keyne K. ;
Whitehead, William E. ;
Curry, Daniel J. ;
Luerssen, Thomas G. ;
Jea, Andrew .
PEDIATRIC NEUROSURGERY, 2009, 45 (02) :151-154
[2]   Thoracic pedicle subtraction osteotomy in the treatment of severe pediatric deformities [J].
Bakaloudis, Georgios ;
Lolli, Francesco ;
Di Silvestre, Mario ;
Greggi, Tiziana ;
Astolfi, Stefano ;
Martikos, Konstantinos ;
Vommaro, Francesco ;
Barbanti-Brodano, Giovanni ;
Cioni, Alfredo ;
Giacomini, Stefano .
EUROPEAN SPINE JOURNAL, 2011, 20 :95-104
[3]   NEUROLOGICAL COMPLICATIONS IN SCHEUERMANNS DISEASE - A CASE REPORT AND REVIEW OF LITERATURE [J].
BRADFORD, DS ;
GARCIA, A .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1969, A 51 (03) :567-&
[4]   What's new in spine surgery [J].
Bridwell, KH ;
Anderson, PA ;
Boden, SD ;
Vaccaro, AR ;
Zigler, JE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (07) :1587-1594
[5]   Pediatric scoliosis and kyphosis [J].
Campos, Mauricio A. ;
Weinstein, Stuart L. .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2007, 18 (03) :515-+
[6]   Loss of spinal cord monitoring signals in children during thoracic kyphosis correction with spinal osteotomy - Why does it occur and what should you do? [J].
Cheh, Gene ;
Lenke, Lawrence G. ;
Padberg, Anne M. ;
Kim, Yongjung J. ;
Daubs, Michael D. ;
Kuhns, Craig ;
Stobbs, Georgia ;
Hensley, Marsha .
SPINE, 2008, 33 (10) :1093-1099
[7]   Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance [J].
Cho, KJ ;
Bridwell, KH ;
Lenke, LG ;
Berra, A ;
Baldus, C .
SPINE, 2005, 30 (18) :2030-2037
[8]   Complications of Spinal Fusion for Scheuermann Kyphosis A Report of the Scoliosis Research Society Morbidity and Mortality Committee [J].
Coe, Jeffrey D. ;
Smith, Justin S. ;
Berven, Sigurd ;
Arlet, Vincent ;
Donaldson, William ;
Hanson, Darrell ;
Mudiyam, Ram ;
Perra, Joseph ;
Owen, Jeffrey ;
Marks, Michelle C. ;
Shaffrey, Christopher I. .
SPINE, 2010, 35 (01) :99-103
[9]   Late-onset spinal deformities in children treated by laminectomy and radiation therapy for malignant tumours [J].
de Jonge, T ;
Slullitel, H ;
Dubousset, J ;
Miladi, L ;
Wicart, P ;
Illés, T .
EUROPEAN SPINE JOURNAL, 2005, 14 (08) :765-771
[10]   The Role of Posterior Spinal Osteotomies in Pediatric Spinal Deformity Surgery Indications and Operative Technique [J].
Diab, Michel G. ;
Franzone, Jeanne M. ;
Vitale, Michael G. .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2011, 31 :S88-S98
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