A Novel Hybrid Technique in the Treatment of Dystrophic Scoliosis Secondary to Neurofibromatosis Type 1 Lacking Pedicles in the Apical Area

Surgical Treatment Outcomes of Anterior‐Only Correction and Reconstruction for Severe Cervical Kyphotic Deformity with Neurofibromatosis‐1: A Retrospective Study with a 5‐Year Follow‐Up

“…Preoperative continuous cervical traction could correct cervical kyphosis to a certain extent, release the muscles around the cervical spine and facet joints, provide a wider operating space for the anterior approach, and reduce the surgical risk and difficulty 19–21 . In cases of NF‐1‐associated kyphosis, less traction is usually indicated due to the fragility of the dystrophic cervical spine 22 . In our study, 7 cases of fixed cervical kyphosis were treated with cervical skull traction, and the traction weight was maintained at 6–10 kg for a total duration of 1–3 weeks.…”

“…JOA scores were improved from 10.42 (range, 8-16) preoperatively to 15.25 (range, 11-18) at final follow-up (p < 0.01). NDI scores were decreased from an average of 23.25 (range, [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] preoperatively to an average of 7.08 (range, 3-15) at the final follow-up ( p < 0.01). Patients had achieved effective pain relief at the final follow-up with an average of 1.42 ( p < 0.01) (Table 5).…”

“…[19][20][21] In cases of NF-1-associated kyphosis, less traction is usually indicated due to the fragility of the dystrophic cervical spine. 22 In our study, 7 cases of fixed cervical kyphosis were treated with cervical skull traction, and the traction weight was maintained at 6-10 kg for a total duration of 1-3 weeks. The LKA and GKA decreased from the preoperative average of 66.43 and 38.86 to an average of 31.14 and 16.86 postoperatively, respectively.…”