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Interpedicular graft using a titanium mesh cage in a patient with lumbar scoliosis associated with a congenital butterfly vertebra.
- Source :
-
Journal of neurosurgery. Spine [J Neurosurg Spine] 2011 Feb; Vol. 14 (2), pp. 215-8. Date of Electronic Publication: 2011 Jan 07. - Publication Year :
- 2011
-
Abstract
- A butterfly vertebra is a congenital anomaly often associated with a series of syndromic diseases and is often recognized incidentally without any presenting symptoms. The authors report the case of a 13-year-old girl with lumbar scoliosis and mild spondylolisthesis associated with a butterfly vertebra at L-6 causing radiculopathy. The L-5 and L-6 nerve roots were entrapped at the intervertebral foramina between L-5 and the butterfly vertebra (L-6) and between L-6 and S-1 in the concave side. To decompress and preserve the two nerve roots, correct the deformity, and obtain a solid bone fusion, surgery involving the thorough removal of the facet joints between L-5 and L-6 and between L-6 and S-1 in the concave side was performed, with a partial resection of the butterfly vertebra and the placement of a titanium mesh cage between the L-5 and S-1 pedicles dorsal to the nerve roots. Complete pain relief and correction of the deformity with solid bone fusion was obtained after a 2-year follow-up period.
- Subjects :
- Adolescent
Female
Follow-Up Studies
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Lumbar Vertebrae diagnostic imaging
Nerve Compression Syndromes diagnostic imaging
Nerve Compression Syndromes surgery
Postoperative Complications diagnostic imaging
Prosthesis Design
Scoliosis diagnostic imaging
Spinal Nerve Roots diagnostic imaging
Spinal Nerve Roots surgery
Spondylolisthesis diagnostic imaging
Tomography, X-Ray Computed
Bone Transplantation methods
Lumbar Vertebrae abnormalities
Lumbar Vertebrae surgery
Prostheses and Implants
Prosthesis Implantation methods
Scoliosis congenital
Scoliosis surgery
Spinal Fusion methods
Spondylolisthesis surgery
Surgical Mesh
Titanium
Subjects
Details
- Language :
- English
- ISSN :
- 1547-5646
- Volume :
- 14
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of neurosurgery. Spine
- Publication Type :
- Academic Journal
- Accession number :
- 21214313
- Full Text :
- https://doi.org/10.3171/2010.10.SPINE10191