Document Detail


Paralytic spinal deformity following traumatic spinal-cord injury in children and adolescents.
MedLine Citation:
PMID:  7451526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We attempted to evaluate the effect on the spinal column of loss of muscular support following trauma to the spinal cord during childhood. The cases of fifty patients, newborn to seventeen years old at the time of injury, were analyzed. Thirty-one patients had scoliotic curves of more than 20 degrees; twenty-one of these were long paralytic curves of 40 degrees or more. Age at injury was the single most important risk factor in the development of scoliosis; spasticity was also a very significant factor. Patients with lesions at all neural levels were at risk, while laminectomy was not a significant cause of scoliosis. On lateral roentgenograms the predominant finding was a reversal of the lumbar lordosis into a kyphosis, with the resultant development of a long thoracolumbar kyphosis. In five patients the opposite deformity, thoracolumbar lordosis, developed.
Authors:
J E Lancourt; J H Dickson; R E Carter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  63     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1981 Jan 
Date Detail:
Created Date:  1981-03-24     Completed Date:  1981-03-24     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  47-53     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Kyphosis / etiology
Lordosis / etiology
Muscle Spasticity / etiology
Paralysis / etiology*
Scoliosis / etiology*
Spinal Cord Injuries / complications*,  surgery
Spinal Fusion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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