Hyndman-Schneider procedure for paraplegia caused by a sharp, angular scoliosis: a case report and a review of the literature.
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.
Feldman
M D
MD
Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO 63110.
Bridwell
K H
KH
Sheridan
J J
JJ
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