Cervical kyphosis and thoracic lordoscoliosis in a patient with cerebral palsy.
The management of cerebral palsy and spinal deformity can be challenging for spine surgeons. Scoliosis is the most common spinal deformity associated with cerebral palsy; however, the development of thoracic lordoscoliosis is rare. Cervical kyphosis in cerebral palsy patients is associated primarily with athetoid cerebral palsy. This article presents a case of progressive myelopathy and concurrent cervical kyphosis and thoracic lordoscoliosis in a 17-year-old spastic quadriplegic cerebral palsy patient who underwent 2-stage treatment. In the first stage, the cervical spine was managed with a 2-level cervical corpectomy of C5 and C6, with multilevel laminectomies, lateral mass plating, and wire fixation. In the second stage 3 months later, the thoracic deformity was corrected through a combined anterior spinal release of the thoracic spine with posterior spinal segmental instrumentation and sublaminar wiring. Postoperatively, the patient successfully returned to independent ambulation.
Singh
Kern
K
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois 60612, USA.
Samartzis
Dino
D
Somera
Anna L
AL
An
Howard S
HS
D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications* / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery; D006801:Humans; D007738:Kyphosis / Q000209:etiology* / Q000601:surgery*; D007796:Laminectomy / Q000295:instrumentation / Q000379:methods*; D008141:Lordosis / Q000209:etiology* / Q000601:surgery*; D008297:Male; D013904:Thoracic Vertebrae; D016896:Treatment Outcome