title: Translaminar screw fixation of a kyphosis of the cervical and thoracic spine in neurofibromatosis.
abstract: The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using translaminar screws, which allow segmental fixation in vertebral bodies where placement of the pedicle screws was impracticable.
authors.affiliation: The Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B31 2AP, UK. acg93fm@aol.com
authors.forename: A
authors.initials: A
authors.lastname: Gardner
authors.forename: P
authors.initials: P
authors.lastname: Millner
authors.forename: M
authors.initials: M
authors.lastname: Liddington
authors.forename: G
authors.initials: G
authors.lastname: Towns
mesh_terms: D000293:Adolescent; D001863:Bone Screws; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D013123:Spinal Fusion / Q000379:methods*