title: Absorbable anterior cervical plate for corpectomy and fusion in a 2-year-old child with neurofibromatosis. Technical note.
abstract: Postlaminectomy cervical kyphosis is one of the most challenging entities in spine surgery. Correction of this deformity usually requires anterior fusion with plating and a strut graft or interbody cage and posterior fusion with screws and rods. The situation is more complicated in the young child because fusion may affect future growth of the cervical spine. There is also a paucity of adequate instrumentation for the small bony structures. Some authors have reported utilization of absorbable cervical plates for fusion in pediatric patients with favorable results.   The authors present a modified surgical technique that was used for circumferential fusion in a 2-year-old girl with cervical kyphosis and recurrent neurofibroma. Anterior fusion was performed using an autologous rib graft and an absorbable cervical plate. This was followed by posterior fusion using rib bone and cables. Previous reports on the use of absorbable cervical plates are reviewed and the advantages of the current technique are discussed.
authors.affiliation: Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Zvi
authors.initials: Z
authors.lastname: Lidar
authors.forename: Shlomi
authors.initials: S
authors.lastname: Constantini
authors.forename: Gilad J
authors.initials: GJ
authors.lastname: Regev
authors.forename: Khalil
authors.initials: K
authors.lastname: Salame
mesh_terms: D001860:Bone Plates; D016025:Bone Transplantation; D001864:Bone Wires; D002574:Cervical Vertebrae / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery*; D007796:Laminectomy / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D018365:Neoplasm, Residual / Q000601:surgery; D017253:Neurofibromatoses / Q000601:surgery*; D012272:Ribs / Q000637:transplantation*; D013123:Spinal Fusion / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome