Abstract |
We report the case of a girl with a dystrophic neurofibromatosis lumbar scoliosis with asymptomatic progression and spread of dystrophic characteristics over 18 years. Resorption of almost the entire anterior column of L1-L4 had occurred despite a previous posterior instrumentation and fusion. A vascularized fibula bone graft wrapped in titanium mesh was used as an anterior structural graft. With close follow-up, the need for this type of salvage surgery might have been averted. Further follow-up showed no graft resorption and unchanged sagittal alignment after 3 years.
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Authors | M de Kleuver, J P W van Jonbergen, D D Langeloo |
Journal | Journal of spinal disorders & techniques
(J Spinal Disord Tech)
Vol. 17
Issue 6
Pg. 539-42
(Dec 2004)
ISSN: 1536-0652 [Print] United States |
PMID | 15570129
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adolescent
- Dilatation, Pathologic
(etiology, surgery)
- Disease Progression
- Dura Mater
(abnormalities, pathology, surgery)
- Female
- Fibula
(transplantation)
- Humans
- Lumbar Vertebrae
- Neurofibromatosis 1
(complications)
- Scoliosis
(complications, surgery)
- Treatment Outcome
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