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Surgical treatment of congenital thoracolumbar spondyloptosis in a 2-year-old child with vertebral column resection and posterior-only circumferential reconstruction of the spine column: case report
- Source :
- Journal of Neurosurgery: Pediatrics. 15:207-213
- Publication Year :
- 2015
- Publisher :
- Journal of Neurosurgery Publishing Group (JNSPG), 2015.
-
Abstract
- Spondyloptosis refers to complete dislocation of a vertebral body onto another. The L5–S1 level is frequently affected. As this condition is rare, few published reports describing its clinical features and surgical outcomes exist, especially in the pediatric patient population. The authors report the presentation, pathological findings, and radiographic studies of a 2-year-old girl who presented to Texas Children's Hospital with a history since birth of progressive spastic paraparesis. Preoperative CT and MRI showed severe spinal cord compression associated with T11–12 spondyloptosis. The patient underwent a single-stage posterior approach for complete resection of the dysplastic vertebral bodies at the apex of the spinal deformity with reconstruction and stabilization of the vertebral column using a titanium expandable cage and pedicle screws. At the 12-month follow-up, the patient remained neurologically stable without any radiographic evidence of instrumentation failure or loss of alignment. To the best of the authors' knowledge, there have been only 2 other children with congenital thoracolumbar spondyloptosis treated with the above-described strategy. The authors describe their case and review the literature to discuss the aggregate clinical features, surgical strategies, and operative outcomes for congenital thoracolumbar spondyloptosis.
- Subjects :
- Sacrum
medicine.medical_specialty
Radiography
Population
Complete resection
Neurosurgical Procedures
Resection
Spinal cord compression
medicine
Humans
Orthopedic Procedures
education
Surgical treatment
education.field_of_study
Lumbar Vertebrae
business.industry
General Medicine
Plastic Surgery Procedures
medicine.disease
Magnetic Resonance Imaging
Texas
Spine
Surgery
medicine.anatomical_structure
Child, Preschool
Female
Spondylolisthesis
Presentation (obstetrics)
business
Spinal Cord Compression
Vertebral column
Subjects
Details
- ISSN :
- 19330715 and 19330707
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Neurosurgery: Pediatrics
- Accession number :
- edsair.doi.dedup.....ad10f718c00fed171fdf82ef99721d9e