Spinal reconstruction with pedicle screw-based instrumentation and rhBMP-2 in patients with neurofibromatosis and severe dural ectasia and spinal deformity: Report of two cases and a review of the literature.

Spinal tuberculosis (Pott disease) can produce severe deformities when it is not properly treated. Long instrumentations through single or combined double approaches are usually required to prevent and correct the deformity. The authors present a case of severe deformity secondary to tuberculous spondylodiscitis in the lumbar spine treated with a monosegmental instrumentation through a double a...

Vertebral anomalies may also distort the normal regional or global spinal alignment and necessitate some therapeutic interventions. Hemiepiphysiodesis is a traditional procedure usually described for these young patients but in more severe cases some type of osteotomy seems to be necessary. In this technical note, we describe a 5-year-old boy with failed previous hemiepiphysiodesis surgery, who...

BACKGROUND Most patients affected by spinal tuberculosis can be successfully treated conservatively with chemotherapy, external bracing and prolonged rest. Nevertheless, kyphotic deformity, spinal instability and neurological deficit remain a common complication associated with conservative approach. AIM To illustrate different indications and treatment modalities for tuberculous spondylodisc...

RATIONALE Severe post-laminectomy spinal deformity associated with late-onset paraplegia is a complex and rare disorder. Little is known about revision surgery in post-laminectomy rotokyphoscoliosis associated with late-onset paraplegia treated by the single stage posterior-only vertebral column resection (VCR) procedure. PATIENT CONCERNS AND DIAGNOSES The patient was a 14-year-old male diagn...

Background: Spinal cord injury is not only caused by trauma but also non-trauma, such as spinal epidural abscess (SEA). Tuberculous SEA a rare infectious disorder, delayed diagnosis associated with morbidity and mortality. The problems of tuberculous infection neurological deficit, axial back pain, pathological fracture, deformity, socioeconomic psychogenic problem. There are few cases Mycobact...

conclusions it seems that considering the clinical examination of patients before sa focusing on lumbar spinous process status, presence of lumbar deformity, calculation of bmi and radiological signs of lumbar vertebrae can be helpful in predicting sa difficulty. results hundred and one patients were enrolled. of these patients, 50 (49.5%) underwent sa by the first attempt of the first space, i...

Background The gold standard of scoliosis evaluation-Cobb angle measurement-is a valuable tool for assessing spinal deformity and making therapeutic decisions [1,2] but is not fully able to describe the trunk deformity (aesthetics), which is a main concern of patients. Posture, deformity of other bones and soft tissues could be other determinants of the aesthetic impairment due to scoliosis. We...

Surgery for myelomeningocele spinal deformity is accompanied by a high rate of complications. These include infection, pathological skin breakage, instrumentation failure, and neurological deterioration. The four-rib construct associated with the percutaneous technique in immature children with myelomeningocele and spinal deformity is introduced. The four-rib construct serves to correct for def...