Spinal Deformity After Multiple-Level Cervical Laminectomy in Children
| Autor: | Robert Tibshirani, Deborah Bell, Janet L. Walker, Gary O'Connor |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Kyphosis Hyperlordosis Postoperative Complications Deformity Humans Medicine Orthopedics and Sports Medicine Child Retrospective Studies business.industry Incidence (epidemiology) Infant Newborn Laminectomy Infant Sequela medicine.disease Spine Syringomyelia Arnold-Chiari Malformation Surgery Radiography Child Preschool Orthopedic surgery Cervical Vertebrae Lordosis Regression Analysis Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Spine. 19:406-411 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/00007632-199402001-00005 |
| Popis: | Considerable controversy exists in the orthopedic and neurosurgical literature over the true incidence and nature of spinal deformity after multiple-level cervical laminectomy in children. Eighty-nine patients with a mean radiographic follow up of 5.1 years (range 2-9 years) were reviewed. Mean age at surgery was 5.7 years (range 1 month-18 years). Most common diagnoses were Arnold-Chiari malformation, syringomyelia, or both (81%). Significant deformity developed in 46 patients (53%), with 33 developing a mean kyphosis of 30 degrees (range 5-105 degrees) and 13 developing a mean hyperlordosis of 62 degrees (range 40-95 degrees). Peak age at surgery of 10.5 years correlated weakly (P = 0.08) with the development of kyphosis. The development of hyperlordosis was strongly correlated (P = 0.01) with a peak age at surgery of 4.2 years. There was no correlation between diagnosis, sex, location, or number of levels decompressed and the subsequent development of deformity. |
| Databáze: | OpenAIRE |
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