Cotrel-Dubousset instrumentation in neurofibromatosis spine curves. A preliminary report

Five patients with neurofibromatosis-induced scoliosis and dystrophic vertebral bodies were treated surgically with Cotrel-Dubousset instrumentations. The surgical approaches included posterior only, anterior and posterior, and multistage procedures. Three of the five patients showed a progression o...

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Bibliographic Details
Published in:	Clinical orthopaedics and related research no. 245; p. 19
Main Authors:	Holt, R T, Johnson, J R
Format:	Journal Article
Language:	English
Published:	United States 01-08-1989
Subjects:	Adolescent Atrophy Child Female Humans Infant, Newborn Male Neurofibromatosis 1 - complications Orthopedic Fixation Devices Scoliosis - etiology Scoliosis - surgery Spinal Fusion - instrumentation Spinal Fusion - methods Spine - pathology
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Summary:	Five patients with neurofibromatosis-induced scoliosis and dystrophic vertebral bodies were treated surgically with Cotrel-Dubousset instrumentations. The surgical approaches included posterior only, anterior and posterior, and multistage procedures. Three of the five patients showed a progression of their scoliosis despite the instrumentation and fusions. One had a significant progression that may require additional surgery. Scoliosis associated with neurofibromatosis dystrophic vertebral bodies causes a curve progression that should be treated aggressively with anterior and posterior fusions. Careful follow-up observation is mandatory in neurofibromatosis patients because of the tendency for extraordinary progression with growth.
ISSN:	0009-921X
DOI:	10.1097/00003086-198908000-00005