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Dugoni DE, Mancarella C, Landi A, et al. Post laminoplasty cervical kyphosis-Case report. Int J Surg Case Rep. 2014;5(11):853-7doi: 10.1016/j.ijscr.2014.09.020.
Dugoni, D. E., Mancarella, C., Landi, A., Tarantino, R., Ruggeri, A. G., & Delfini, R. (2014). Post laminoplasty cervical kyphosis-Case report. International journal of surgery case reports, 5(11), 853-7. https://doi.org/10.1016/j.ijscr.2014.09.020
Dugoni, D E, et al. "Post laminoplasty cervical kyphosis-Case report." International journal of surgery case reports vol. 5,11 (2014): 853-7. doi: https://doi.org/10.1016/j.ijscr.2014.09.020
Dugoni DE, Mancarella C, Landi A, Tarantino R, Ruggeri AG, Delfini R. Post laminoplasty cervical kyphosis-Case report. Int J Surg Case Rep. 2014;5(11):853-7. doi: 10.1016/j.ijscr.2014.09.020. Epub 2014 Oct 05. PMID: 25462050; PMCID: PMC4245682.
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Int J Surg Case Rep. 2014;5(11):853-7. doi: 10.1016/j.ijscr.2014.09.020. Epub 2014 Oct 05.

Post laminoplasty cervical kyphosis-Case report.

International journal of surgery case reports

D E Dugoni, C Mancarella, A Landi, R Tarantino, A G Ruggeri, R Delfini

Affiliations

  1. Department of neurology and psychiatry. Neurosurgical division, University of Rome "Sapienza", Italy. Electronic address: [email protected].
  2. Department of neurology and psychiatry. Neurosurgical division, University of Rome "Sapienza", Italy.

PMID: 25462050 PMCID: PMC4245682 DOI: 10.1016/j.ijscr.2014.09.020

Abstract

INTRODUCTION: Cervical kyphosis is a progressive cervical sagittal plane deformity that may cause a reduction in the ability to look horizontally, breathing and swallowing difficulties, sense of thoracic oppression and social isolation. Moreover, cervical kyphosis can cause myelopathy due to a direct compression by osteo-articular structures on the spinal cord or to a transitory ischaemic injury. The treatment of choice is surgery. The goals of surgery are: nervous structures decompression, cervical and global sagittal balance correction and vertebral stabilization and fusion.

PRESENTATION OF CASE: In October 2008 a 35 years old woman underwent surgical removal of a cervical-bulbar ependymoma with C1-C5 laminectomy and a C2-C5 laminoplasty. Five months after surgery, the patient developed a kyphotic posture, with intense neck and scapular girdle pain. The patients had a flexible cervical kyphosis. Therefore, we decided to perform an anterior surgical approach. We performed a corpectomy C4-C5 in order to achieve the anterior decompression; we placed a titanium expansion mesh.

DISCUSSION: Cervical kyphosis can be flexible or fixed. Some authors have reported the use of anterior surgery only for flexible cervical kyphosis as discectomy and corpectomy. This approach is useful for anterior column load sharing however it is not required for deformity correction.

CONCLUSION: The anterior approach is a good surgical option in flexible cervical kyphosis. It is of primary importance the sagittal alignment of the cervical spine in order to decompress the nervous structures and to guarantee a long-term stability.

Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Cervical laminectomy; Cervical myelopathy; Kyphosis

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