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Myelopathy in a 6-year-old girl caused by neurofibromatosis Type 1: a case report.

作者信息

Tonogai Ichiro, Sakai Toshinori, Katoh Shinsuke, Higashino Kosaku, Sairyo Koichi, Hirohashi Nori, Yasui Natsuo

机构信息

Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan.

出版信息

Spine J. 2008 Sep-Oct;8(5):836-40. doi: 10.1016/j.spinee.2007.04.018. Epub 2007 Jun 26.

Abstract

BACKGROUND CONTEXT

Even when there is radiological evidence of spinal involvement, young patients with neurofibromatosis Type 1 (NF-1) seldom have symptoms. We report the case of a child who developed rapidly progressive myelopathy.

PURPOSE

To describe a technique used to prevent postoperative spinal deformity and instability, after removal of a dumbbell-shaped tumor in a 6-year-old child.

STUDY DESIGN

Case report.

PATIENT SAMPLE

A 6-year-old female.

METHODS

Retrospective case review.

RESULTS

The patient underwent a resection of the cervical dumbbell tumor using an osteoplastic laminectomy technique to prevent postoperative spinal deformity. At 2-year follow-up, there was no clinical or radiographic evidence of complications or spinal kyphotic deformity.

CONCLUSIONS

The case of a 6-year-old girl with cervical myelopathy caused by NF-1 was reported. The tumor was removed after osteoplastic laminectomy, which could prevent postoperative kyphotic deformity.

摘要

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