Progressive spinal lordosis after laminoplasty in a child with thoracic neuroblastoma.
Laminoplasty has been advocated increasingly after spinal tumor excision in children. Results have shown that it offers the required decompression, while maintaining spinal stability and the integrity of the posterior vertebral elements. To the authors' knowledge, there has been no description of a progressive lordotic deformity of the thoracic spine after this procedure. A case of an 8-year-old boy with thoracic neuroblastoma developing progressive thoracic lordosis after laminoplasty is reviewed, and a possible cause is suggested. Discussing this potential complication with parents and the patient, and following up with regular clinical and radiographic assessments is advised.
Hosalkar
Harish S
HS
Division of Orthopaedic Surgery The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
Pill
Stephan G
SG
Sun
Peter P
PP
Drummond
Denis S
DS
D002648:Child; D018450:Disease Progression; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D008141:Lordosis / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D009447:Neuroblastoma / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery