Post-laminectomy kyphosis

J. E. Lonstein

Research output: Contribution to journalArticle

173 Scopus citations

Abstract

In children laminectomies are performed for the diagnosis and treatment of spinal cord tumors. Spine deformities following these laminectomies are common: 50%. Kyphosis is the most frequent deformity found. The integrity of the facet joints appears to be one of the most important factors in the development of this kyphosis. More children are surviving after treatment of these tumors and a pessimistic attitude is not warranted. Observation of a progressing deformity is not acceptable treatment. When kyphosis develops, early prompt bracing must be started. For a progressive or severe kyphosis, an anterior spine fusion is indicated. This is reinforced by a posterior fusion with Harrington instrumentation. Surgical reconstruction is indicated in children recovering from extensive laminectomies but with a good prognosis.

Original languageEnglish (US)
Pages (from-to)93-100
Number of pages8
JournalClinical orthopaedics and related research
VolumeNo. 128
DOIs
StatePublished - 1977

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