Treatment of Cervical Kyphosis in Children

Francis, W. R.; Noble, Daniel P.

doi:10.1097/00007632-198808000-00001

Cited by 30 publications

(19 citation statements)

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“…Francis and Noble also noted that anterior release of tight cartilaginous tissue and vertebrectomy was effective in the treatment of a patient with 168°cervical kyphosis. 4 Given these findings, PSF is indicated only for patients with mild and flexible cervical kyphosis, with anterior decom- pression and circumferential fusion required for patients displaying severe and/or rigid kyphotic deformity, who usually have myelopathic symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of Cervical Kyphosis in Larsen Syndrome

Sakaura¹,

Matsuoka²,

Iwasaki³

et al. 2007

Spine

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Posterior spinal fusion is only indicated for patients with mild and flexible cervical kyphosis, and anterior decompression and circumferential arthrodesis is required for patients with severe kyphotic deformity, who usually develop myelopathic symptoms. Anterior surgery for such a small patient with severe kyphosis involves much higher risk of spinal cord injury during decompression maneuvers and difficulty in stabilization of the reconstructed cervical spine. Therefore, all patients with Larsen syndrome should be screened with radiographs at the first visit to detect cervical kyphosis early so that posterior alone fusion is possible.

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Section: Discussionmentioning

confidence: 99%

“…However, surgical treatment for this challenging condition has only been described in a few reports. 1,[3][4][5][6][7] The present report reviews the surgical results for midcervical kyphosis in 3 cases with Larsen syndrome, and the choice of surgical treatments is discussed.…”

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confidence: 99%

Surgical Treatment of Cervical Kyphosis in Larsen Syndrome

Sakaura¹,

Matsuoka²,

Iwasaki³

et al. 2007

Spine

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“…Francis and Noble reported on the treatment of cervical kyphosis in nine children, one of whom had Larsen's syndrome. 3 That child presented at 5 years of age with weakness. He was placed in traction before surgery and subsequently was treated with anterior cervical decompression, vertebrectomy, and strut fusion.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Neither a predictable natural history nor the optimal treatment of these vertebral anomalies has been determined. We describe two patients with Larsen's syndrome and cervical kyphosis to show the variable natural history and to offer a description of our treatment of these patients.…”

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confidence: 99%

Cervical Kyphosis Associated With Anteroposterior Dissociation and Quadriparesis in Larsenʼs Syndrome

Katz¹,

Hall²,

Emans³

2005

Journal of Pediatric Orthopaedics

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Neither the natural history nor the optimal treatment of cervical spine anomalies in Larsen's syndrome has been clearly defined. The authors describe two patients with Larsen's syndrome with cervical kyphosis, anteroposterior dissociation, and quadriparesis to show the variable clinical progression and offer a description of the authors' treatment. One patient has had continued neurologic and radiographic improvement with nonoperative treatment consisting of early traction. The other patient was treated with posterior fusion that failed to halt progressive kyphosis of the anterior vertebral bodies because of anteroposterior dissociation. He then was treated by resection of the posterior fusion, traction, and anterior and posterior decompression and fusion. Cervical kyphosis in patients with Larsen's syndrome is unpredictable, and both nonoperative and operative treatments have the potential to be successful. Anteroposterior dissociation of the cervical spine may be more common in Larsen's syndrome than recognized previously and may profoundly affect operative strategy and outcome.

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“…This problem is more common in the immature growing child [14,[93][94][95][96][97][98][99]. If not treated, cuneiformisation of the vertebral body with anterior translation may occur, leading ultimately to swan-neck deformity [98].…”

Section: Post-laminectomy Instabilitymentioning

confidence: 99%

Pediatric cervical spine instability

Ghanem

Hage

Rachkidi

et al. 2008

Journal of Children's Orthopaedics

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Cervical spine instability in children is rare but not exceptional and may be due to many factors. Although it mostly occurs at the upper cervical spine, all vertebrae from the occiput to T1 may be involved. It may be acute or chronic, occurring secondary to trauma or due to congenital anomaly, skeletal or metabolic dystrophy or rheumatoid arthritis. It can be isolated or associated with other musculoskeletal or visceral anomalies. A thorough knowledge of embryology, anatomy, physiology and physiopathology of the cervical spine in children is essential to avoid pitfalls, recognize normal variants and identify children at risk of developing cervical spine instability and undertake the appropriate treatment.

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Treatment of Cervical Kyphosis in Children

Cited by 30 publications

References 0 publications

Surgical Treatment of Cervical Kyphosis in Larsen Syndrome

Surgical Treatment of Cervical Kyphosis in Larsen Syndrome

Cervical Kyphosis Associated With Anteroposterior Dissociation and Quadriparesis in Larsenʼs Syndrome

Pediatric cervical spine instability

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