Cervical spine deformity associated with resection of spinal cord tumors

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Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Schmidt, Meic H.
Other Author Fassett, Daniel R.; Clark, Randy; Brockmeyer, Douglas L.
Title Cervical spine deformity associated with resection of spinal cord tumors
Date 2006
Description Postoperative sagittal-plane cervical spine deformities are a concern when laminectomy is performed for tumor resection in the spinal cord. These deformities appear to occur more commonly after resection of intramedullary spinal cord lesions, compared with laminectomy for stenosis caused by degenerative spinal conditions. Postlaminectomy deformities are most common in pediatric patients with an immature skeletal system, but are also more common in young adults (, 25 years of age) in comparison with older adults. The extent of laminectomy and facetectomy, number of laminae removed, location of laminectomy, preoperative loss of lordosis, and postoperative radiation therapy in the spine have all been reported to influence the risk of postlaminectomy spinal deformities. When these occur, patients should be monitored closely with serial imaging studies, because a significant percentage will have progressive deformities. These can range from focal kyphosis to more complicated swan-neck deformities. General indications for surgical intervention include progressive deformity, axial pain in the area, and neurological symptoms attributable to the deformity. Surgical options include anterior, posterior, and combined anterior-posterior procedures. The authors have reviewed the literature on postlaminectomy kyphosis as it relates to resection of cervical spinal cord tumors, and they summarize some general factors to consider when treating these patients.
Type Text
Publisher American Association of Neurological Surgeons (AANS)
First Page 1
Last Page 7
Subject Kyphosis; Cervical deformity; Intramedullary tumor; Laminectomy; Children
Subject LCSH Laminectomy; Spine -- Tumors -- Surgery; Spine -- Surgery -- Complications
Language eng
Bibliographic Citation Fassett, D. R., Clark, R., Brockmeyer, D. L., & Schmidt, M. H. (2006). Cervical spine deformity associated with resection of spinal cord tumors. Neurosurgical Focus, 20(2), E2, 1-7.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 413,995 bytes
Identifier ir-main,13043
ARK ark:/87278/s6697n57
Setname ir_uspace
ID 706908
Reference URL https://collections.lib.utah.edu/ark:/87278/s6697n57
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