Journal article
Eosinophilic Granuloma in the Pediatric Spine
Pediatric neurosurgery, Vol.43(4), pp.285-292
07/2007
DOI: 10.1159/000103308
PMID: 17627144
Abstract
Background/Aims: Eosinophilic granuloma (EG) involving the vertebrae in the pediatric population presents a difficult management scenario. Issues of surgical versus nonsurgical intervention, spinal stability and continued skeletal growth must all be considered. Methods: A retrospective review of medical records and radiographs from 1964 to the present yielded 12 patients with age less than 18 at the time of diagnosis of primary spinal EG. Results: Eleven of these 12 patients presented with pain; 2 patients had neurological deficits. Nine patients were managed nonsurgically, including those undergoing tissue diagnosis by needle (2) or extraspinal (3) biopsy; 3 patients underwent gross total resections. Radiographic diagnosis alone was made in 4. With an average follow-up of 8.1 years, survival is 100%. Conclusions: EG in the spine infrequently produces neurological deficits in the pediatric age group, although it may result in spinal instability. As such, nonsurgical management is the preferred strategy to effect symptomatic relief.
Details
- Title: Subtitle
- Eosinophilic Granuloma in the Pediatric Spine
- Creators
- Jeremy D.W GreenleeAlbert J FenoyKathleen A DonovanArnold H Menezes
- Resource Type
- Journal article
- Publication Details
- Pediatric neurosurgery, Vol.43(4), pp.285-292
- Publisher
- Basel, Switzerland
- DOI
- 10.1159/000103308
- PMID
- 17627144
- ISSN
- 1016-2291
- eISSN
- 1423-0305
- Number of pages
- 8
- Language
- English
- Date published
- 07/2007
- Academic Unit
- Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984040277302771
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