Development of pathological lumbar kyphosis in myelomeningocele

The Journal of Bone and Joint Surgery. British Volume
C CarstensF U Niethard

Abstract

We analysed the cases of lumbar kyphosis in 151 (21%) of a series of 719 patients with myelomeningocele. Three different types were distinguished: paralytic, sharp-angled and congenital. In a cross-sectional and partly longitudinal study the size and magnitude of the kyphosis, the apex of the curve and the level of paralysis of each group were recorded and statistically analysed. Paralytic kyphosis (less than 90 degrees at birth) occurred in 44.4% and increased linearly during further development. Sharp-angled kyphosis (90 degrees or more at birth) was present in 38.4% and also showed a linear progression. In both types, progression seemed to depend also on the level of paralysis. Congenital kyphosis occurred in 13.9% and we could find no significant factor which correlated with progression.

Citations

May 29, 2007·Journal of Pediatric Orthopedics. Part B·Yann GlardGérard Bollini
Nov 26, 2009·The Journal of Bone and Joint Surgery. American Volume·Michael AkbarClaus Carstens
May 6, 2006·The Journal of the American Academy of Orthopaedic Surgeons·James T GuilleS Jay Kumar
Nov 3, 2010·Clinical Orthopaedics and Related Research·Sumeet GargB Stephens Richards
Jun 17, 2005·Journal of Pediatric Orthopedics·Yann GlardGérard Bollini
May 7, 2008·Journal of Spinal Disorders & Techniques·Bariş KocaoğluSelim Yalçin
Sep 10, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Massimo CaldarelliLuca Massimi
Jul 17, 2014·The Journal of Spinal Cord Medicine·Humberto MarreirosEulália Calado
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Apr 28, 2006·Spine·Michael AkbarRainer Abel
Oct 20, 2010·Clinical Orthopaedics and Related Research·Haluk AltiokPeter Sturm

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