title: Laminoplasty preserving the deep extensor musculature for a pediatric cervicothoracic epidural hematoma case of hemophilia A.
abstract: Postoperative malalignment after either a laminectomy or a laminoplasty in pediatric cases is a well-known complication. A 5-year-old boy with a history of hemophilia A presented with severe paresis. MRI showed an extensive epidural hematoma extending from C2 to T1. We performed decompression of the spinal cord using laminoplasty, preserving the insertion of the deep extensors. The patient completely recovered from the paresis. Even 7 years after the surgery we could not find any kyphotic deformities. The use of laminoplasty preserving the deep extensor musculature may be crucial for maintaining the postoperative cervical alignment in pediatric patients.
authors.affiliation: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Iizuka
authors.forename: Haku
authors.initials: H
authors.lastname: Iizuka
authors.forename: Kenichi
authors.initials: K
authors.lastname: Nagano
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tsutsumi
authors.forename: Takashi
authors.initials: T
authors.lastname: Nakajima
authors.forename: Kenji
authors.initials: K
authors.lastname: Takagishi
mesh_terms: D002675:Child, Preschool; D019299:Decompression, Surgical / Q000379:methods*; D046748:Hematoma, Epidural, Spinal / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D065406:Laminoplasty / Q000379:methods*; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D016896:Treatment Outcome