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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 9 | Pages 1252 - 1255
1 Sep 2009
Gardner A Millner P Liddington M Towns G

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.