[Anterior spinal cord decompression in paraplegia in angular kyphosis. Apropos of 5 cases in children and adolescents].
The authors performed an anterior medullar decompression and a vertebral arthrodesis with bone grafts in 5 children and adolescents suffering neurological troubles caused by an angular kyphosis. 4 patients out of 5 completely or almost completely recovered from their paraplegia in the days or weeks following surgery. The authors stress the infrequency of the indication of such a procedure justified in either recent or incomplete neurological troubles without improvement by immobilization and rest. This procedure, which may raise technical problems, gives way to the rapid recovery of a satisfying functional state. It is to be considered in view of these dramatic situations.
Olivier
M
M
Service d'Orthopédie Pédiatrique, Hôpital Raymond Poincaré, Garches.
Pouliquen
J C
JC
D000293:Adolescent; D002648:Child; D006801:Humans; D007738:Kyphosis / Q000150:complications*; D010264:Paraplegia / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D011184:Postoperative Period; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion; D013124:Spinal Injuries / Q000150:complications; D014399:Tuberculosis, Spinal / Q000150:complications
La décompression médullaire antérieure pour paraplégie sur cyphose angulaire. A propos de 5 cas chez l'enfant et l'adolescent.