title: Hyndman-Schneider procedure for paraplegia caused by a sharp, angular scoliosis: a case report and a review of the literature.
abstract: Scoliosis causing neurologic deficit is rare. Nonoperative treatment has been shown to be unsuccessful in reversing the condition or preventing further neurologic progression. Surgical intervention using the Hyndman-Schneider approach (costotransversectomy and apical pedicle resection) decompresses the spinal cord by transposing it into the concavity of the deformity. Although it is a demanding procedure with significant risks, lateral spinal cord transposition is the preferable procedure to provide full neurologic recovery in successful cases.
authors.affiliation: Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO 63110.
authors.forename: M D
authors.initials: MD
authors.lastname: Feldman
authors.forename: K H
authors.initials: KH
authors.lastname: Bridwell
authors.forename: J J
authors.initials: JJ
authors.lastname: Sheridan
mesh_terms: D000293:Adolescent; D001915:Braces; D002370:Casts, Surgical; D003131:Combined Modality Therapy; D006801:Humans; D007103:Immobilization; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D012272:Ribs / Q000601:surgery*; D012600:Scoliosis / Q000150:complications / Q000601:surgery*; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000601:surgery*; D014797:Vital Capacity