Posterior and Anterior Fusion for Severe Cervical Kyphosis in a Patient with Chondrodysplasia Punctata: A Case Report

Shuzo Kato; Nobuyuki Fujita; Satoshi Suzuki; Osahiko Tsuji; Narihito Nagoshi; Eijiro Okada; Mitsuru Yagi; Kota Watanabe; Masaya Nakamura; Morio Matsumoto

doi:10.2106/JBJS.CC.20.00646

Posterior and Anterior Fusion for Severe Cervical Kyphosis in a Patient with Chondrodysplasia Punctata: A Case Report

Shuzo Kato, Nobuyuki Fujita, Satoshi Suzuki, Osahiko Tsuji, Narihito Nagoshi, Eijiro Okada, Mitsuru Yagi, Kota Watanabe, Masaya Nakamura, Morio Matsumoto

Department of Orthopaedics

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 4-year-old girl with spastic gait and hand clumsiness who was diagnosed with cervical myelopathy caused by atlantoaxial dislocation and midcervical severe kyphosis associated with chondrodysplasia punctata (CDP). The patient underwent posterior instrumentation and anterior spinal fusion and successful correction with osseous fusion was obtained 8 months after surgery. In addition, the preoperative neurological symptoms were completely recovered.Conclusion:Owing to the characteristics of CDP, the treatment for the cervical lesion is extremely complicated. Successful stabilization and improvement of the neurological symptom were achieved by combining posterior and anterior fusion with instrumentation in this case.

Original language	English
Article number	e20.00646
Journal	JBJS case connector
Volume	11
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.20.00646
Publication status	Published - 2021 Mar 16

Keywords

cervical spine
chondrodysplasia punctata
pediatric spine

ASJC Scopus subject areas

Medicine(all)

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10.2106/JBJS.CC.20.00646

Cite this

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title = "Posterior and Anterior Fusion for Severe Cervical Kyphosis in a Patient with Chondrodysplasia Punctata: A Case Report",

abstract = "Case:A 4-year-old girl with spastic gait and hand clumsiness who was diagnosed with cervical myelopathy caused by atlantoaxial dislocation and midcervical severe kyphosis associated with chondrodysplasia punctata (CDP). The patient underwent posterior instrumentation and anterior spinal fusion and successful correction with osseous fusion was obtained 8 months after surgery. In addition, the preoperative neurological symptoms were completely recovered.Conclusion:Owing to the characteristics of CDP, the treatment for the cervical lesion is extremely complicated. Successful stabilization and improvement of the neurological symptom were achieved by combining posterior and anterior fusion with instrumentation in this case.",

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T1 - Posterior and Anterior Fusion for Severe Cervical Kyphosis in a Patient with Chondrodysplasia Punctata

T2 - A Case Report

AU - Kato, Shuzo

AU - Fujita, Nobuyuki

AU - Suzuki, Satoshi

AU - Tsuji, Osahiko

AU - Nagoshi, Narihito

AU - Okada, Eijiro

AU - Yagi, Mitsuru

AU - Watanabe, Kota

AU - Nakamura, Masaya

AU - Matsumoto, Morio

PY - 2021/3/16

Y1 - 2021/3/16

N2 - Case:A 4-year-old girl with spastic gait and hand clumsiness who was diagnosed with cervical myelopathy caused by atlantoaxial dislocation and midcervical severe kyphosis associated with chondrodysplasia punctata (CDP). The patient underwent posterior instrumentation and anterior spinal fusion and successful correction with osseous fusion was obtained 8 months after surgery. In addition, the preoperative neurological symptoms were completely recovered.Conclusion:Owing to the characteristics of CDP, the treatment for the cervical lesion is extremely complicated. Successful stabilization and improvement of the neurological symptom were achieved by combining posterior and anterior fusion with instrumentation in this case.

AB - Case:A 4-year-old girl with spastic gait and hand clumsiness who was diagnosed with cervical myelopathy caused by atlantoaxial dislocation and midcervical severe kyphosis associated with chondrodysplasia punctata (CDP). The patient underwent posterior instrumentation and anterior spinal fusion and successful correction with osseous fusion was obtained 8 months after surgery. In addition, the preoperative neurological symptoms were completely recovered.Conclusion:Owing to the characteristics of CDP, the treatment for the cervical lesion is extremely complicated. Successful stabilization and improvement of the neurological symptom were achieved by combining posterior and anterior fusion with instrumentation in this case.

KW - cervical spine

KW - chondrodysplasia punctata

KW - pediatric spine

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Posterior and Anterior Fusion for Severe Cervical Kyphosis in a Patient with Chondrodysplasia Punctata: A Case Report

Abstract

Keywords

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