PMID: 16512659Mar 4, 2006Paper

Skeletal dysplasia involving the subaxial cervical spine. Report of two cases and review of the literature

Neurosurgical Focus
Gregory P LekovicNicholas Theodore

Abstract

Because skeletal dysplasias are primary disorders of bone, they have not been commonly understood as neurosurgical diseases. Nevertheless, neurosurgical complications are commonly encountered in many cases of dysplasia syndromes. The authors present two cases of skeletal dysplasia that caused overt instability of the cervical spine. One patient with a diagnosis of Gorham disease of the cervical spine was treated with prolonged fixation in a halo brace after an initial attempt at instrumentation with a posterior occiput--C4 fusion. The other patient, who at birth was identified to have camptomelic dysplasia, has been treated conservatively from the outset. Although these two patients presented with different disorders--in one patient adequate mature bone never formed and in the other patient progressive bone loss became apparent after a seemingly normal initial development--these cases demonstrate unequivocally that surgical options for fusion are ultimately limited by the quality of the underlying bone. In patients in whom the bone itself is inadequate for use as a substrate for fusion, there are currently limited treatment options. Future improvements in our understanding of chondrogenesis and ossification may lead to the desi...Continue Reading

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Citations

Sep 25, 2012·Journal of Neurosurgery. Spine·Steven W HwangAndrew Jea
Mar 5, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Nader S DahdalehDavid M Hasan

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