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

页码：1293 / 1299

页数：7

共 43 条

[31] Superiorly based laminoplasty in children [J].

Meyer, NJ ;

Flatley, TJ ;

Dunn, TK .

JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2003, 16 (02) :156-162

[32] SPINAL-CORD TUMORS IN CHILDREN - LONG-TERM RESULTS OF COMBINED SURGICAL AND RADIATION TREATMENT [J].

OSULLIVAN, C ;

JENKIN, RD ;

DOHERTY, MA ;

HOFFMAN, HJ ;

GREENBERG, ML .

JOURNAL OF NEUROSURGERY, 1994, 81 (04) :507-512

[33] Spinal column deformity and instability after lumbar or thoracolumbar laminectomy for intraspinal tumors in children and young adults [J].

Papagelopoulos, PJ ;

Peterson, HA ;

Ebersold, MJ ;

Emmanuel, PR ;

Choudhury, SN ;

Quast, LM .

SPINE, 1997, 22 (04) :442-451

[34] Cervical laminoplasty: a critical review [J].

Ratliff, JK ;

Cooper, PR .

JOURNAL OF NEUROSURGERY, 2003, 98 (03) :230-238

[35] CERVICAL FACETECTOMY AND ITS EFFECT ON SPINE STRENGTH [J].

RAYNOR, RB ;

PUGH, J ;

SHAPIRO, I .

JOURNAL OF NEUROSURGERY, 1985, 63 (02) :278-282

[36] Mechanical spinal cord compression at the apex of a kyphosis: a propos of one case. Review of the literature [J].

Sariali, Elhadi ;

Panier, Stephanie ;

Glorion, Christophe .

EUROPEAN SPINE JOURNAL, 2009, 18 :S160-S164

[37]

SHIKATA J, 1990, CLIN ORTHOP RELAT R, P92

[38]

Silverstein Michael P, 2012, Evid Based Spine Care J, V3, P49, DOI 10.1055/s-0031-1298618

[39] Simultaneous anterior-posterior approach through a costotransversectomy for the treatment of congenital kyphosis and acquired kyphoscoliotic deformities [J].

Smith, JT ;

Gollogly, S ;

Dunn, HK .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (10) :2281-2289

[40]

Smith-Petersen M N, 1969, Clin Orthop Relat Res, V66, P6

← 1 2 3 4 5 →