Progressive congenital kyphosis: report of five cases and review of the literature.

Abstract:

:For over 60 years congenital kyphotic deformities of the spine have been categorized into two distinct groups, depending on the developmental defect. Those arising from a failure of formation of the vertebral bodies were classified as type 1, while those arising from a failure of segmentation were referred to as type 2. Recognition of the progressive and unstable nature of the type 1 defects alerted physicians to the need for early operative stabilization through decompression and stabilization through instrumentation. As the embryogenesis of the spinal column was further investigated, and as diagnostic imaging methods of the spine improved, unstable congenital kyphoses were further subdivided. Progressive congenital kyphotic deformities now may accompany a host of vertebral column developmental defects as well as genetically mediated mesenchymal tissue defect syndromes. This paper presents 5 patients from The Children's Hospital of Philadelphia with progressive and symptomatic congenital kyphotic deformities of the spine. Two of these lesions resulted from defects of formation of the vertebral bodies, while one resulted from segmental spinal dysgenesis, maldevelopment of both the anterior and posterior vertebral elements. One patient's kyphotic deformity was a result of caudal regression syndrome, and the final case presented experienced a high thoracic kyphosis from a syndrome associated diffuse midline mesenchymal tissue abnormalities known as cerebrocostomandibular syndrome. All patients showed evidence of progressive cord compression and required neural element decompression, fusion, and instrumentation. The cases are discussed individually, and the developmental and clinical aspects of each are explored.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Philips MF,Dormans J,Drummond D,Schut L,Sutton LN

doi

10.1159/000121178

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

130-43

issue

3

eissn

1016-2291

issn

1423-0305

journal_volume

26

pub_type

杂志文章
  • The retrograde ventriculo-sinus shunt (El Shafei RVS shunt). Rationale, evolution, surgical technique and long-term results.

    abstract:UNLABELLED:Since 1990, 110 retrograde ventriculo-sinus (RVS) shunts were implanted; 98 patients (89.1%) benefited - 1 of them (0.9%) after shunt revision. The manifestations of high intra cranial pressure (ICP) disappeared, there were no problems related to improper cerebrospinal fluid (CSF) drainage, and the transcran...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000088733

    authors: El Shafei IL,El Shafei HI

    更新日期:2005-11-01 00:00:00

  • Spinal sagittal malalignment following surgery for primary intramedullary tumours in children.

    abstract:BACKGROUND/OBJECTIVE:As prior studies analysed predictive factors for various post-laminectomy spinal deformities in mixed spinal regions, age groups or pathologies, their validity and conclusions were unclear. The objective of this study was to determine predictive factors for worsened cervical or thoracic spinal sagi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000050444

    authors: Yeh JS,Sgouros S,Walsh AR,Hockley AD

    更新日期:2001-12-01 00:00:00

  • The Total Calvarial Remodeling with Transsutural Distraction Osteogenesis of 21 Cases of Craniosynostosis: New, Efficient, Safe and Natural Method in Craniosynostosis Surgery.

    abstract:INTRODUCTION:The majority of the present distraction osteogenesis techniques involve local site expansion that only produces localized decompression and affords limited decompression and cosmetic results. We designed a new surgical procedure, total calvarial transsutural distraction osteogenesis (TSuDO). METHODS:We pe...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000381860

    authors: Park DH,Yoon SH

    更新日期:2015-01-01 00:00:00

  • Delayed diagnosis of neurological bladder following spinal cord injury without radiological abnormality.

    abstract::Spinal cord injuries are a well-known cause of neurological bladder and a well-known complication of high-velocity trauma. They can, however, be difficult to diagnose in young children, in whom the absence of initial neurological symptoms and normality of the radiological workup can be falsely reassuring. Management o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000360402

    authors: Abbo O,Mouttalib S,L'Kaissi M,Sauvat F,Accadbled F,Harper L

    更新日期:2013-01-01 00:00:00

  • Diffuse intravascular coagulation associated with brain tumor surgery in children.

    abstract::There have been numerous reported cases of diffuse intravascular coagulation (DIC) or defibrination syndrome associated with head trauma, but very few reported cases associated with primary brain tumor. This report concerns the findings in a case of DIC associated with brain tumor surgery in an infant. The patient die...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120504

    authors: Huang PS,Koo KE

    更新日期:1990-01-01 00:00:00

  • Selective functional posterior rhizotomy for treatment of spastic cerebral palsy in children. Review of 50 consecutive cases.

    abstract::Fifty consecutive children are described with spastic cerebral palsy treated with selective functional lumbar and sacral rhizotomy and followed for a minimum of 6 months. In all patients, spasticity improved postoperatively, but this was not necessarily accompanied by a functional improvement. Eighteen children who co...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120639

    authors: Steinbok P,Reiner A,Beauchamp RD,Cochrane DD,Keyes R

    更新日期:1992-01-01 00:00:00

  • Hepatic pseudocyst as a result of ventriculoperitoneal shunts: case report and review of the literature.

    abstract::Hepatic pseudocyst formation is a rare intra-abdominal complication of ventriculoperitoneal shunts. The presence of an intracranial tumor and a history of central nervous system infection are major risk factors for the development of this complication. Hepatic pseudocysts secondary to ventriculoperitoneal shunts can b...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000108795

    authors: Kaplan M,Ozel SK,Akgun B,Kazez A,Kaplan S

    更新日期:2007-01-01 00:00:00

  • Cerebellopontine angle arachnoid cyst harbouring ectopic neuroglia.

    abstract::Arachnoid cysts are collections of cerebrospinal fluid covered by arachnoidal cells and collagen. They may have a congenital or acquired origin. We present the case of a 7-year-old boy with a cerebellopontine angle arachnoid cyst harbouring a portion of neuroglia. Microscopically, the cyst wall consisted of a delicate...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000086566

    authors: Ariai S,Koerbel A,Bornemann A,Morgala M,Tatagiba M

    更新日期:2005-07-01 00:00:00

  • Application of signal transduction inhibition as a therapeutic strategy for central nervous system tumors.

    abstract::During the last decade, rapid progress has been made in understanding the molecular pathways underlying the proliferation of both normal and neoplastic cells. The processes by which messages to initiate protein synthesis, cell cycle progression, and even cell death are transmitted from the cell surface or the cytoplas...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028729

    authors: Pollack IF,Bredel M,Erff M

    更新日期:1998-11-01 00:00:00

  • Direct repair of the pars interarticularis for spondylolysis and spondylolisthesis.

    abstract::Spondylolysis and spondylolisthesis can be associated with significant low back pain, especially in physically active adolescents. Non-operative management is usually successful in improving symptoms, but surgical intervention is occasionally required for those that fail reduction of activity and bracing. In a subpopu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000072471

    authors: Lundin DA,Wiseman D,Ellenbogen RG,Shaffrey CI

    更新日期:2003-10-01 00:00:00

  • Cephalocele: report of 55 cases over 8 years.

    abstract:OBJECTIVE:Cephalocele is a central nervous system (CNS) birth defect. Various CNS and extra-CNS anomalies, as well as prognostic factors have been reported with cephalocele. The aim of this study was to discuss prognostic factors and current possible theories explaining associated anomalies seen in a series of 55 patie...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000277622

    authors: Baradaran N,Nejat F,Baradaran N,El Khashab M

    更新日期:2009-01-01 00:00:00

  • Aquaporin Water Channels and Hydrocephalus.

    abstract::The aquaporins (AQPs) are a family of water-transporting proteins that are broadly expressed in mammalian cells. Two AQPs in the central nervous system, AQP1 and AQP4, might play a role in hydrocephalus and are thus potential drug targets. AQP1 is expressed in the ventricular-facing membrane of choroid plexus epitheli...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000452168

    authors: Verkman AS,Tradtrantip L,Smith AJ,Yao X

    更新日期:2017-01-01 00:00:00

  • Skull Subsidence due to Periosteum Defect following Craniotomy in a Child.

    abstract::We report a case of a 7-year-old child with a cranial deformity secondary to a craniotomy for an intracranial hematoma. He suffered from an acute epidural hematoma with a lineal fracture of the right temporal bone following a severe head injury. A large question mark-shaped skin flap with the periosteum and temporal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000452804

    authors: Arishima H,Akazawa A,Kikuta KI

    更新日期:2017-01-01 00:00:00

  • Central pontine myelinolysis in a pediatric head injury patient.

    abstract::Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. It is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who suffered this clinical ent...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000315003

    authors: Singh DK,Rastogi M,Husain M

    更新日期:2010-01-01 00:00:00

  • Shunt dependency in shunted arachnoid cyst: a reason to avoid shunting.

    abstract::Cystoperitoneal (CP) shunting is minimally invasive and achieves a high rate of resolution on neuroimaging. However, in the absence of definite symptoms, shunting should be reconsidered, because some patients can experience shunt dependency after CP shunting. In this study, the risk of shunt dependency in patients wit...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000065393

    authors: Kim SK,Cho BK,Chung YN,Kim HS,Wang KC

    更新日期:2002-10-01 00:00:00

  • Functional opening of the fourth ventricular outlet in C57BL/6J and delayed splotch mouse embryos.

    abstract::To compare the functional development of the fourth ventricular outlet in the myeloschisis-Chiari malformation complex with that of a normal brain, the chronological development of the outlet in C57BL/6J non-neural-tube defect mouse embryos was examined as the first step. Then we compared the results with those of hom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121248

    authors: Wang KC,Higbee R,Knepper PA,McLone DG

    更新日期:1997-10-01 00:00:00

  • Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

    abstract::Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000433601

    authors: Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

    更新日期:2015-01-01 00:00:00

  • Patterns of care for craniopharyngioma: survey of members of the american association of neurological surgeons.

    abstract:BACKGROUND:Initial therapy for craniopharyngioma remains controversial. Population-based datasets indicate that traditional algorithms [gross total resection (GTR) vs. subtotal resection (STR) +/- radiation therapy (XRT)] are often not employed. We investigated neurosurgical practice patterns. METHODS:A ten-question s...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000357783

    authors: Hankinson TC,Palmeri NO,Williams SA,Torok MR,Serrano CA,Foreman NK,Handler MH,Liu AK

    更新日期:2013-01-01 00:00:00

  • Extradural hematomas in children.

    abstract::The authors studied 58 patients, under 12 years of age, admitted to the Emergency Room of the Sao Paulo University Hospital between September 1987 and November 1991 with the diagnosis of traumatic extradural hematoma. Emphasis was given to the etiology of injury, the time interval from head injury to emergency room ev...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120814

    authors: dos Santos AL,Plese JP,Ciquini Júnior O,Shu EB,Manreza LA,Marino Júnior R

    更新日期:1994-01-01 00:00:00

  • Towards development of a survival prediction tool for pediatric head injury.

    abstract:BACKGROUND:The ability to provide an accurate prognosis for children with traumatic brain injury (TBI) would be useful for the children's families and the caregivers. In this study we examined whether an appropriate mathematical model can predict survival in this patient population. METHODS:Data from the Children's Ho...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000340068

    authors: Kouznetsov E,Brennan M,Vassilyadi M

    更新日期:2012-01-01 00:00:00

  • Dermal Sinus Tract of the Thoracic Spine Presenting with Intramedullary Abscess and Cranial Nerve Deficits.

    abstract::Congenital dermal sinus tract of the spine is an unusual developmental defect which represents a failure of the surface ectoderm and dermal elements to separate from the neuroectoderm. A 15-month-old female presented with high fever, severe right hemiparesis, difficulty breathing and cranial nerve deficits. Magnetic r...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000439539

    authors: Papaevangelou G,Tsitsopoulos PP,Flaris N,Iliadis C,Tsonidis C

    更新日期:2015-01-01 00:00:00

  • Infantile traumatic subdural hematomas: outcome after five years.

    abstract:OBJECTIVE:Although subdural hematomas (SDH) are common in infants, their long-term outcome is poorly documented in the literature. METHODS:Infants operated for SDH were followed prospectively and evaluated during their sixth year with systematic neurological evaluation and standard neuropsychological testing. RESULTS...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000071648

    authors: Vinchon M,Defoort-Dhellemmes S,Nzeyimana C,Vallée L,Dhellemmes P

    更新日期:2003-09-01 00:00:00

  • Transient Horizontal Gaze Palsy in a One-Month-Old Boy after a Fall.

    abstract::A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this findin...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000441680

    authors: Bourne SK,Duhaime AC

    更新日期:2016-01-01 00:00:00

  • Multiple intradural spinal lipomata with intracranial extension.

    abstract::An intradural, intramedullary lipoma originating within the upper cervical cord with significant extension into the posterior fossa is reported in an infant. Two additional lipomas were found in the lumbar region. This constellation of findings represents the first description of multiple intradural, intramedullary sp...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121008

    authors: Wilson JT,Shapiro RH,Wald SL

    更新日期:1996-01-01 00:00:00

  • Endoscopic third ventriculostomy: the Lebanese experience.

    abstract:BACKGROUND:Endoscopic third ventriculostomy (ETV) has gained wide popularity as a first-line treatment for obstructive hydrocephalus (OHC). We have been performing ETV since 1998. We report our experience with this technique in the management of OHC. METHODS:Between 1998 and 2007, we performed 49 ETV procedures in 46 ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000257525

    authors: Rahme R,Rahme RJ,Hourani R,Moussa R,Nohra G,Okais N,Samaha E,Rizk T

    更新日期:2009-01-01 00:00:00

  • Pediatric Hangman's Fracture: A Comprehensive Review.

    abstract:PURPOSE:Over 170 years ago, traumatic spondylolisthesis of the axis or hangman's fracture was described. Most descriptions of this entity have focused on adult presentations. METHODS:We review the literature on pediatric cases of hangman's fracture emphasizing the embryological as well as presentation aspects. RESULT...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000455923

    authors: Montalbano M,Fisahn C,Loukas M,Oskouian RJ,Chapman JR,Tubbs RS

    更新日期:2017-01-01 00:00:00

  • Surgical Superior Sagittal Sinus Thrombectomy in Refractory Thrombosis: A Technical Note.

    abstract:OBJECTIVE:Surgical treatment options are limited for medically and endovascular refractory cerebral venous sinus thrombosis (CVT). We describe the technical feasibility of open, direct sinus thrombectomy in a pediatric patient with medically and endovascular refractory CVT. METHODS:A 15-year-old patient with superior ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000495808

    authors: Westwick HJ,Obaid S,Bordeleau-Roy F,Truffer E,Weil AG

    更新日期:2019-01-01 00:00:00

  • Management of holocord pilocytic astrocytomas in children and adolescents: an update.

    abstract::Holocord intramedullary low-grade astrocytomas in children and adolescents - involving most or all of the cervical and thoracic spinal cord - are a rare finding. Most of the tumors seem to be pilocytic astrocytomas. Surgical management strategies might not be as clear as in small and circumscribed intramedullary tumor...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000345593

    authors: Ebner FH,Schittenhelm J,Roser F,Scheel-Walter H,Tatagiba M,Schuhmann MU

    更新日期:2012-01-01 00:00:00

  • The delta valve: how does its clinical performance compare with two other pressure differential valves without antisiphon control?

    abstract:OBJECTIVE:The Delta valve is a pressure differential valve with a siphon control device. The valve mechanism is normally closed, but is designed to open in response to positive ventricular pressure, thereby avoiding overdrainage of cerebrospinal fluid (CSF). As a result, the incidence of subdural fluid collections as w...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028988

    authors: Davis SE,Levy ML,McComb JG,Sposto R

    更新日期:2000-08-01 00:00:00

  • Recurrence in supratentorial anaplastic ependymoma.

    abstract:AIM:To study the outcome and recurrence in supratentorial anaplastic ependymoma. METHODS:Sixteen cases of supratentorial anaplastic ependymoma were reviewed. The average age of presentation was 8.2 years ranging from 1 to 16 years of age. The mean duration between the onset of first symptoms to time of presentation wa...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000106384

    authors: Kumar R,Singhal N,Jaiswal SK,Mahapatra AK

    更新日期:2007-01-01 00:00:00