Cervical myelo-radiculopathy in athetoid cerebral palsy.

Abstract:

:Cervical myelopathy complicating athetoid cerebral palsy has not been adequately highlighted in the literature. We report two cases of patients with athetoid cerebral palsy and long histories of involuntary movements who developed cervical myelo-radiculopathy. Dystonic athetoid neck movements may cause excessive axial neck rotation as well as flexion and extension movements of the spine. These repetitive exaggerated movements may result in early degenerative changes of the vertebrae which may enhance the myelo-radiculopathy. The two patients were treated with combined anterior and posterior fusion with satisfactory results. They were bedridden preoperatively but have since started walking with or without a cane. We conclude that combined anterior and posterior fusion is the treatment of choice for severe myelopathy complicating athetoid cerebral palsy.

authors

Mikawa Y,Watanabe R,Shikata J

doi

10.1007/BF00434115

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

116-8

issue

1-2

eissn

0936-8051

issn

1434-3916

journal_volume

116

pub_type

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