Spinal arthrodesis with instrumentation for thoracolumbar kyphosis in pediatric achondroplasia

Spine
M C Ain, James A Browne

Abstract

Retrospective radiograph and chart review. To assess the safety, efficacy, and complications after posterior spinal arthrodesis with instrumentation for thoracolumbar kyphosis in the pediatric achondroplast. The conventional approach of anterior and posterior arthrodesis has achieved minimal correction, avoided instrumentation, and had a high risk of neurologic deterioration. To the current authors' knowledge, there are only two reports of successful instrumentation with pedicle screw fixation for kyphosis in pediatric achondroplasts; the outcome of such procedures remains largely unknown. The current authors evaluated the results of posterior spinal arthrodeses with instrumentation performed between 1998 and 2001 on 12 consecutive patients (mean age, 12 years). Indications for arthrodesis were concomitant laminectomy for neurologic symptoms or progressive deformity. Arthrodesis methods included anterior and posterior arthrodesis (5 patients) and posterior arthrodesis only (7 patients). Intraoperative somatosensory-evoked potentials, pedicle screw stimulation, and/or a wake-up test were used to confirm neurologic status in all patients. Successful fusion was obtained in all patients. No intraoperative or postoperative neurologi...Continue Reading

References

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Citations

Mar 20, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Gang LiYouwen Deng
Aug 18, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J C AuréganC Glorion
Jul 3, 2013·Journal of Inherited Metabolic Disease·Kariman Abelin GenevoisRémi Kohler
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Jul 2, 2009·Journal of Pediatric Orthopedics·Kevin W FarmerMichael C Ain
Jun 25, 2010·Journal of Pediatric Orthopedics·Kirsten E BacaMichael C Ain
Mar 2, 2011·Spine·Jae-Young HongJung-Ho Park
Jan 17, 2007·Current Opinion in Pediatrics·Erin M CarterCathleen L Raggio
Jun 26, 2012·Journal of Neurosurgery. Spine·Carmen Vleggeert-Lankamp, Wilco Peul
Jun 15, 2007·Journal of Neurosurgery·Daniel M SciubbaGeorge I Jallo
Jan 29, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Enrique GarridoChristopher I Adams
Mar 25, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Eric D Shirley, Michael C Ain
Aug 8, 2013·Spine·Ali F KaratasWilliam G Mackenzie
Jul 20, 2007·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Richard M Pauli
Sep 17, 2016·Journal of Pediatric Orthopedics·Adam MargalitMichael C Ain
Sep 8, 2006·Clinical Orthopaedics and Related Research·C Palani KumarChang-Wug Oh
Jan 5, 2019·Orphanet Journal of Rare Diseases·Richard M Pauli
Jun 26, 2020·Orphanet Journal of Rare Diseases·Klane K WhiteUNKNOWN Skeletal Dysplasia Management Consortium

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