[10-year follow-up of C3-C7 cervical laminectomy for intramedullary grade I astrocytoma].
In an eight years old boy we operated an intramedullary astrocytoma grade I and reimplanted the laminae C4-7 en bloc. A good stability was achieved. Ten years later only one segment remained intact, the others showing spontaneous fusion as a major draw back. This is possibly due to subperiostal dissection and bracing. No spinal stenosis occurred. An overuse of the remaining disc C4/5 might lead to a secondary degenerative stenosis. The operation is simple and might avoid swan neck deformity in children after large decompression of dorsal structures.
Staudte
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HW
Orthopädische Abteilung, Kreiskrankenhaus Marienhöhe, Würselen.
Busch
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G
D000293:Adolescent; D001254:Astrocytoma / Q000000981:diagnostic imaging / Q000601:surgery*; D020968:Brachial Plexus Neuritis / Q000175:diagnosis; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D009192:Myelography; D011183:Postoperative Complications / Q000175:diagnosis; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion
Zehn-Jahres-Verlauf nach zervikaler Laminektomie C3-C7 wegen eines intramedullären Astrocytoms Grad I.