Post-laminectomy rotokyphoscoliosis causing paraplegia in long term: Case report
Journal of Spinal Cord Medicine, cilt.35, sa.3, ss.175-177, 2012 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 3
- Basım Tarihi: 2012
- Doi Numarası: 10.1179/2045772311y.0000000052
- Dergi Adı: Journal of Spinal Cord Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.175-177
- Anahtar Kelimeler: Laminectomy, Spinal tumor, Astrocytoma, Intramedullary, Spinal deformity, Kyphosis, Scoliosis, Myelopathy, Paraplegia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Context: Childhood laminectomy can lead to spinal deformity. This is a report of a case of paraplegia caused by rotokyphoscoliosis, a late complication of laminectomy. Findings: A 55-year-old woman developed paraplegia due to post-laminectomy kyphoscoliosis. She had surgery for a spinal tumor at age 13 years. She developed kyphosis 2 years after the laminectomy, which has been gradually progressing over the years. She experienced weakness of lower limbs that progressed to paraplegia. There was no evidence for tumor recurrence. To our knowledge, this is the first reported case of post-laminectomy kyphoscoliosis causing late-onset paraplegia. Conclusions/clinical relevance: This case highlights a possible long-term complication of laminectomy without stabilization or untreated kyphoscoliosis. Children should be followed closely after laminectomy because development of spinal deformity is very common. Without intervention, the kyphosis might progress and in the long term, serious neurological complications may result, including paraplegia. © The Academy of Spinal Cord Injury Professionals, Inc. 2012.