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Asymptomatic massive dural ectasia associated with neurofibromatosis type 1 threatening spinal column support: treatment by anterior vascularized fibula graft.

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.
AuthorsM de Kleuver, J P W van Jonbergen, D D Langeloo
JournalJournal of spinal disorders & techniques (J Spinal Disord Tech) Vol. 17 Issue 6 Pg. 539-42 (Dec 2004) ISSN: 1536-0652 [Print] United States
PMID15570129 (Publication Type: Case Reports, Journal Article)
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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