| Multilevel thoracic pedicle aplasia causing congenital thoracic kyphosis: case report. | |
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MedLine Citation:
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PMID: 10764276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE AND IMPORTANCE: Congenital thoracic kyphosis is a rare cause of treatable myelopathy. Multilevel thoracic pedicle aplasia as a cause of this deformity has not been previously reported in the literature. We report a case and describe the surgical management and outcome. CLINICAL PRESENTATION: A 14-year-old boy presented to us with a 4-month history of back pain and slowly progressive spastic paraparesis. Radiographic studies revealed thoracic kyphosis and bilateral aplasia of the pedicles of T4-T8. INTERVENTION: The patient underwent surgical treatment via a posterior approach for decompression of T4-T8, followed by arthrodesis from T2 to T12, using a hook claw construct with multiple points of fixation and autologous bone grafting. CONCLUSION: Congenital vertebral anomalies may be clinically occult, and delayed presentation may occur in adolescence or adulthood. Aplasia of multiple thoracic pedicles can produce kyphotic deformities with neurological compromise. A posterior approach with multiple points of segmental instrumentation can be effective in treating kyphotic deformities that are flexible and of moderate severity (<75 degrees). |
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Authors:
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M J Rauzzino; C I Shaffrey; H Bartkowski; R Nockels; G Wiggins |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 46 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 2000 Apr |
Date Detail:
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Created Date: 2000-06-21 Completed Date: 2000-06-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 988-90; discussion 990-1 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan 48202, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bone Transplantation Humans Kyphosis / congenital*, diagnosis, etiology*, surgery Magnetic Resonance Imaging Male Radiography, Thoracic Spinal Fusion Thoracic Diseases / congenital*, diagnosis, etiology*, surgery Thoracic Vertebrae / abnormalities*, pathology, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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