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CASE REPORT
Year : 2010  |  Volume : 44  |  Issue : 1  |  Page : 95-97

Cervical neurofibromatosis with quadriparesis: Management by fibular strut graft


Department of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand

Correspondence Address:
Wichien Laohacharoensombat
Department of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok 10400
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.54968

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This is a case report of an eight-year old boy with neurofibromatosis and a 120º dystrophic kyphosis of the cervical spine. He presented with progressive quadriparesis caused by spondyloptosis of the C2/C3, and was successfully treated by skull traction and one-stage anterior fibular strut graft lying between the tubercle of the atlas through the C2 body slot and lower vertebrae. At seven years follow-up there was, loosening of lower vertebral screws which allowed growth and residual mobility of lower vertebral joints while the fusion of upper cervical spines was still solid.


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