Cervical laminar exostosis in multiple hereditary osteochondromatosis: anterior stabilization and fusion technique for preventing instability.
Multiple hereditary osteochondromatosis is a genetically transmitted disorder consisting of multiple projections of bone capped by cartilage, which are called exostoses. Spinal cord compression due to expansion of a laminar osteochondroma is rare but well recognized. Surgical decompression usually improves the patient's neurological status but, in cervical exostosis, post-laminectomy kyphosis and instability problems, especially in the high-risk adolescent group, form the most significant potential difficulties in the postoperative period. We report a case of cervical laminar exostosis that was treated by anterior stabilization and fusion and discuss the benefits of this technique.
Ergün
R
R
Department of Neurosurgery, Ankara Numune Hospital, Turkey.
Okten
A I
AI
Beşkonakli
E
E
Akdemir
G
G
Taşkin
Y
Y
D000293:Adolescent; D001860:Bone Plates; D005097:Exostoses, Multiple Hereditary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control*; D008297:Male; D009333:Neck; D018216:Osteochondromatosis / Q000175:diagnosis / Q000235:genetics* / Q000601:surgery*; D011859:Radiography; D013122:Spinal Diseases / Q000517:prevention & control*; D013123:Spinal Fusion / Q000379:methods*