PMID: 9170359May 1, 1997Paper

Surgery of the spine in myelodysplasia. An overview

Clinical Orthopaedics and Related Research
W B RodgersJohn B Emans

Abstract

Significant spinal deformity is particularly common in nonambulatory patients with myelodysplasia. Progressive deformity may be caused by congenital anomalies, paralytic collapse, hip contractures, or spinal cord tethering. Existing or projected functional impairment should be the principle indication for treatment. Surgical treatment is complicated by poor soft tissue coverage, associated contractures, lack of sensation, weak bone, and absence of posterior elements. Successful fusion can be achieved by circumferential (anterior and posterior) fusion and current rigid segmental instrumentation. The unique deformities and bony anatomy require individualized techniques to achieve fixation.

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Citations

Dec 3, 2010·Clinical Orthopaedics and Related Research·Jayesh PatelTodd A Milbrandt
Nov 30, 2000·Journal of Pediatric Orthopedics·E K WaiJ G Wright
Dec 1, 2012·Journal of Pediatric Orthopedics. Part B·Marcin SibinskiAndrzej Grzegorzewski
Jan 16, 2008·Physical Medicine and Rehabilitation Clinics of North America·Sherilyn W Driscoll, Joline Skinner

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