A new management approach to decompression, posterior stabilization, and fusion for cervical laminar exostosis with cord compression in a case of diaphyseal aclasis. Case report and review of the literature.
A rare case of cervical cord compression secondary to laminar exostosis (in an adolescent girl with diaphyseal aclasis) is described, which was treated by decompression, posterior stabilization by a Hartshill rectangle, and posterolateral facet fusion. A brief summary of the clinical presentation is given as well as the surgical technique employed and a brief review of the relevant literature. Posterior stabilization and posterolateral fusion are emphasized, with a view to minimize the inevitable "postlaminectomy kyphosis." This is the first report of such an aggressive treatment protocol even described for a similar lesion.
Bhojraj
S Y
SY
Department of Orthopaedics, Seth GS Medical College, Bombay, India.
Panjwani
J S
JS
D000293:Adolescent; D005097:Exostoses, Multiple Hereditary / Q000150:complications*; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*