Anterior fusion and posterior correction of severe cervical kyphosis using pedicle screw fixation in a patient with neurofibromatosis: a case report.
We present a 15-year-old boy with severe cervical kyphosis due to neurofibromatosis (NF), who underwent one-stage anterior fusion and posterior correction using pedicle screw fixation. The kyphosis was corrected from 72 degrees to 35 degrees. At the follow-up 16 months postoperatively, anterior fusion and posterior stabilization had been obtained without correction loss. Cervical pedicle screw fixation is a useful method for the correction of severe cervical kyphosis in patients with NF.
Yonezawa
Ikuho
I
Department of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan. ikuho@sepia
Arai
Yasuhisa
Y
Tsuji
Takaaki
T
Takahashi
Masaki
M
Kurosawa
Hisashi
H
D000293:Adolescent; D001863:Bone Screws / Q000592:standards / Q000639:trends; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators / Q000592:standards / Q000639:trends; D007431:Intraoperative Complications / Q000517:prevention & control; D007738:Kyphosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D009455:Neurofibroma / Q000150:complications / Q000601:surgery*; D017253:Neurofibromatoses / Q000150:complications*; D011859:Radiography; D012021:Reflex, Abnormal / Q000502:physiology; D013117:Spinal Cord Compression / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation* / Q000379:methods; D013125:Spinal Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome