Cotrel-Dubousset instrumentation in neurofibromatosis spine curves. A preliminary report.
Five patients with neurofibromatosis-induced scoliosis and dystrophic vertebral bodies were treated surgically with Cotrel-Dubousset instrumentations. The surgical approaches included posterior only, anterior and posterior, and multistage procedures. Three of the five patients showed a progression of their scoliosis despite the instrumentation and fusions. One had a significant progression that may require additional surgery. Scoliosis associated with neurofibromatosis dystrophic vertebral bodies causes a curve progression that should be treated aggressively with anterior and posterior fusions. Careful follow-up observation is mandatory in neurofibromatosis patients because of the tendency for extraordinary progression with growth.
Holt
R T
RT
University of Louisville School of Medicine, Kentucky.
Johnson
J R
JR
D000293:Adolescent; D001284:Atrophy; D002648:Child; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications*; D009984:Orthopedic Fixation Devices; D012600:Scoliosis / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation* / Q000379:methods; D013131:Spine / Q000473:pathology