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Translaminar screw fixation of a kyphosis of the cervical and thoracic spine in neurofibromatosis



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Abstract

The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using translaminar screws, which allow segmental fixation in vertebral bodies where placement of the pedicle screws was impracticable.


Correspondence should be sent to Mr A. Gardner; e-mail: acg93fm@aol.com

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