Surgical treatment of achondroplasia with thoracolumbar kyphosis and spinal stenosis—a case report

Modified Posterior Closing Wedge Osteotomy for the Treatment of Posttraumatic Thoracolumbar Kyphosis

“…14 In addition, posttraumatic tethered spinal cord as a result of dural adhesions can cause severe pain, and the precise origin of the pain is frequently difficult to identify in these cases. 15 In cases of posttraumatic kyphosis, the kyphosis is often fixed and rigid, and the correction is difficult. In the presence of healed and contracted anterior soft tissue, surgical correction by posterior spinal decompression, such as Smith-Peterson osteotomy, is often not successful.…”

Post-Laminectomy Kyphosis in Achondroplasia Patients: To Concurrently Fuse or Not

“…However, symptomatic spinal stenosis is uncommon until the third or fourth decade of life. Though it can occur in patients of any skeletal maturity, the average age on admission is 31 years [8,[11][12][13][14]. When spinal stenosis does become symptomatic in skeletally immature patients, delaying intervention by surgical decompression can result in permanent dysfunction [8].…”

“…When spinal stenosis does become symptomatic in skeletally immature patients, delaying intervention by surgical decompression can result in permanent dysfunction [8]. Surgical decompression often includes multilevel foraminotomies with laminectomies and undercutting of the facets [8,11,14]. Schkrohowsky et al in 2007 determined that skeletally immature achondroplasia patients who required surgery when compared to those that did not present with a decreased T12-L5 interpedicular distance from -8% to -19%.…”

Advances in understanding etiology of achondroplasia and review of management

“…In a proportion of patients, thoracolumbar kyphosis becomes fixed and surgical correction (e.g. spinal fusion) is necessary to prevent neurological and musculoskeletal sequelae such as spinal stenosis and compensating lumbar lordosis [35][36][37][38].…”