Significant scoliosis regression following syringomyelia decompression: case report.
We present the case of a 5-year-old boy presenting with a 54-degree scoliosis secondary to a Chiari I malformation with a holocord syringomyelia extending from C1 to T10. Neurosurgical treatment involved posterior fossa craniectomy with decompression, and partial C1 laminectomy. At follow-up 7 years later, at age 12, radiographs revealed only a 4-degree scoliosis, and follow-up MRI revealed a deflated syrinx. We report this case to reveal the most significant scoliosis regression seen in our experience that may occur in younger patients after neurosurgical syringomyelia decompression for Chiari I hindbrain herniation.
Mollano
Anthony V
AV
Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, Iowa 52242, USA. anthony-mollano@uiowa.edu
Weinstein
Stuart L
SL
Menezes
Arnold H
AH
D002574:Cervical Vertebrae / Q000601:surgery; D002648:Child; D019299:Decompression, Surgical; D018450:Disease Progression; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D012074:Remission Induction; D012249:Rhombencephalon / Q000002:abnormalities* / Q000601:surgery; D012600:Scoliosis / Q000209:etiology*; D013595:Syringomyelia / Q000175:diagnosis / Q000601:surgery*