| Autor: |
Toumia, Mohamed Laroussi, Msakni, Ahmed, Mohseni, Ahmed Amine, Zairi, Mohamed, Bouchoucha, Sami, Saied, Walid, Nessib, Mohamed Nabil, Boussetta, Rim |
| Zdroj: |
Spine Deformity; March 2024, Vol. 12 Issue: 2 p513-517, 5p |
| Abstrakt: |
Purpose: Spinal deformities in patients with Spondyloepiphyseal Dysplasia congenita are particularly challenging to treat. Addressing these deformities requires a holistic surgical strategy. Method: A 16-year-old patient with spondyloepiphyseal dysplasia congenita presenting a severe thoracic kyphoscoliosis associated with atlantoaxial instability causing cervical myelopathy was managed through a preoperative protocol combining a halo jacket with a Stagnara elongation cast allowing progressive correction of the kyphoscoliosis while stabilizing the cervical instability. Results: The preoperative protocol allowed a safer and a more effective surgical spine fusion, reducing neurological risks, improving the final correction, and offering better postoperative recovery. Clinical and radiological solid fusion was observed at 3-year-follow-up with significant improvement of the patient’s quality of life. Conclusion: This case report highlights the effectiveness of the preoperative preparation combining a halo jacket with a Stagnara elongation cast to safely stabilize the cervical spine while correcting the thoracic kyphoscoliosis. This strategy can serve as a valuable tool for spine teams when addressing complex spinal deformities particularly in this patient with SEDc. Level of evidence: Level IV. |
| Databáze: |
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