Incidence of spinal deformity in children after multiple level laminectomy for selective posterior rhizotomy.
Fifty-five children with cerebral palsy had multiple-level laminectomies for selective posterior rhizotomies for the relief of spasticity. They were followed up clinically and radiologically to assess their spinal stability and the possible development of post-laminectomy deformity of the spine. The majority of the deformities found were related to cerebral palsy and did not appear to be due to the laminectomy: 16% had scoliosis, 5% kyphosis, 7% lordosis, and 9% spondylolysis/spondylolisthesis. Spondylolysis is the only abnormality that appeared to be more common in this group than in children with cerebral palsy.
Peter
J C
JC
Department of Paediatric Neurosurgery, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.
Hoffman
E B
EB
Arens
L J
LJ
Peacock
W J
WJ
D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D009128:Muscle Spasticity / Q000601:surgery*; D013122:Spinal Diseases / Q000209:etiology*; D013126:Spinal Nerve Roots / Q000503:physiopathology / Q000601:surgery*