Expert's comment concerning grand rounds case entitled "surgical treatment of a 180° thoracolumbar fixed kyphosis in a young achondroplastic patient: a one stage 'in situ' combined fusion and spinal cord translocation" (by J. C. Aurégan, T. Odent, M. Zerah, J.-P. Padovani and C. Glorion).
An expert comment is provided for the case of an 18-year-old male achondroplastic patient with a severe thoracolumbar kyphosis and spinal stenosis managed with a five level hemilaminotomy, a decancellation osteotomy of the three apical vertebrae and circumferential fusion. A review incidence, presenting symptoms and treatment options for thoracolumbar kyphosis in adults with achondroplasia, is provided.
Shaffrey
Christopher I
CI
Department of Neurological Surgery, University of Virginia Medical Center NSG, P.O. Box 800212, Charlottesville, VA 22908, USA. CIS8Z@hscmail.mcc.virginia.edu
D000130:Achondroplasia / Q000150:complications*; D000293:Adolescent; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D007796:Laminectomy / Q000379:methods; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011859:Radiography; D012307:Risk Factors; D013116:Spinal Cord / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013130:Spinal Stenosis / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
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