The Subarachnoid Fluid Space in Achondroplastic Spinal Stenosis: The Surgical Implication

Uematsu, Sumio; Wang, H.; Hurko, Orest; Kopits, Steven E.

doi:10.1007/978-1-4684-8712-1_37

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…13 The empiric difficulty with instrumentation seemed to resonate with other evidence suggesting that the achondroplastic spine is anatomically narrow with a decreased volume for the cord. [15][16][17][18] Moreover, the pedicles are thick and shortened, reducing the anteroposterior dimension of the column 15,16 and theoretically complicating pedicle screw fixation.…”

Section: Discussionmentioning

confidence: 99%

Spinal Arthrodesis With Instrumentation for Thoracolumbar Kyphosis in Pediatric Achondroplasia

Ain

Browne

2004

Spine

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Section: Discussionmentioning

confidence: 99%

Spinal Arthrodesis With Instrumentation for Thoracolumbar Kyphosis in Pediatric Achondroplasia

Ain

Browne

2004

Spine

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“…Similarly scoliosis surgery is aimed at preventing progression and secondary complications rather than at symptomatic relief. Procedures carried out on the thoracolumbar spine were generally considered of benefit, but the need for four procedures on each of 2 of the 7 patients with ACH again emphasizes the need to provide decompression well beyond the apparent site of cord compression [10].…”

Section: Discussionmentioning

confidence: 99%

Perceptions of the outcome of orthopedic surgery in patients with chondrodysplasias

Hunter¹

1999

Clinical Genetics

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As part of a larger survey of patients with chondrodysplasias, 197 patients or their parents were asked whether they had undergone orthopedic surgery related to their chondrodysplasia and, if so, to rate their impression of the outcome. Seventy-four patients (37.6%) had undergone a total of 152 procedures (221 if concurrent bilateral operations are counted separately). The percentage of patients treated surgically ranged from a low of 8.3% for hypochondroplasia to a high of 87.5% for diastrophic dysplasia. Of the patients who had surgery, the mean number of procedures per patient ranged from 1.0 for hypochondroplasia to 2.69 for pseudoachondroplasia. Of 180 individual procedures related to the limbs, the outcome in 88.8% was judged 'a bit better' or higher and in 68.8% 'much better' or higher. The responses ranged from a low of 70.4 and 66.7%, respectively for proximal femoral osteotomies to a high of 100 and 85.9% for hip replacement. The comparable figures for spine related surgery were 81.8 and 48.5% with a low of 58.3 and 50.0% for foramen magnum-cervical surgery and a high of 93.8 and 43.8% for thoracolumbar procedures. The expressed perception of lack of satisfaction varied not only by procedure but by diagnosis. Overall, patients perceived a high level of post-surgical improvement, although a number experienced subsequent deterioration and the need for further intervention.

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Spine

Stuedemann¹,

Thomas²

2017

Nursing Care of the Pediatric Neurosurgery Patient

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The Subarachnoid Fluid Space in Achondroplastic Spinal Stenosis: The Surgical Implication

Cited by 5 publications

References 11 publications

Spinal Arthrodesis With Instrumentation for Thoracolumbar Kyphosis in Pediatric Achondroplasia

Spinal Arthrodesis With Instrumentation for Thoracolumbar Kyphosis in Pediatric Achondroplasia

Perceptions of the outcome of orthopedic surgery in patients with chondrodysplasias

Spine

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