SPINAL DEFORMITY AFTER MULTIPLE-LEVEL CERVICAL LAMINECTOMY IN CHILDREN

被引：64

作者：

BELL, DF ^{[1
]}

WALKER, JL ^{[1
]}

OCONNOR, G ^{[1
]}

TIBSHIRANI, R ^{[1
]}

机构：

[1] HOSP SICK CHILDREN,DIV ORTHOPAED SURG,TORONTO M5G 1X8,ONTARIO,CANADA

来源：

SPINE | 1994年 / 19卷 / 04期

关键词：

Arnold-Chiarl malformation; Kyphosis; Lordosis; Postlaminectomy deformity; Syringomyelia;

D O I：

10.1097/00007632-199402001-00005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：406 / 411

页数：6

共 26 条

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