The management of scoliosis in neurofibromatosis

Hyun Woo Kim; Stuart L Weinstein

doi:10.1097/00007632-199712010-00014

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The management of scoliosis in neurofibromatosis

Journal article

Peer reviewed

The management of scoliosis in neurofibromatosis

Hyun Woo Kim and Stuart L Weinstein

Spine (Philadelphia, Pa. 1976), Vol.22(23), pp.2770-2776

12/01/1997

DOI: 10.1097/00007632-199712010-00014

PMID: 9431613

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Abstract

When evaluating patients with neurofibromatosis and scoliosis, a careful search for the evidence of dystrophic changes should done, because prognosis and management depend highly on the presence of these changes. Preoperative imaging studies including computed tomography or magnetic resonance imaging are recommended, especially in cases of dystrophic scoliosis, to detect unrecognized intraspinal lesions. The radiographic findings and the response to treatment in patients with nondystrophic scoliosis are similar to those in patients with idiopathic scoliosis, and the same decision-making process for idiopathic scoliosis is applicable. Careful follow-up evaluation is mandatory, however, because of the tendency for extraordinary progression to occur with growth. Brace treatment of the short, angulated, dystrophic curves is ineffective; early and aggressive surgical intervention is strongly recommended. In most cases, dystrophic curvatures are best treated with combined anterior and posterior spinal arthrodesis. The fusion area should be generous, and the entire structural area of the deformity both anteriorly and posteriorly should be fused.

Magnetic Resonance Imaging

Neurofibromatosis 2 - complications

Scoliosis - therapy

Scoliosis - complications

Humans

Adolescent

Neurofibromatosis 1 - complications

Child, Preschool

Tomography, X-Ray Computed

Child

Scoliosis - pathology

Scoliosis - diagnostic imaging

Details

Title: Subtitle: The management of scoliosis in neurofibromatosis
Creators: Hyun Woo Kim - Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City
Stuart L Weinstein
Resource Type: Journal article
Publication Details: Spine (Philadelphia, Pa. 1976), Vol.22(23), pp.2770-2776
DOI: 10.1097/00007632-199712010-00014
PMID: 9431613
NLM abbreviation: Spine (Phila Pa 1976)
ISSN: 0362-2436
eISSN: 1528-1159
Publisher: Lippincott Williams & Wilkins; United States
Language: English
Date published: 12/01/1997
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
Record Identifier: 9984040453902771

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