Critical evaluation of the surgical treatment of vertebral lesions due to neurofibromatosis. 31 cases (1954-1973)
Stagnara, P.; Biot, B.; Fauchet, R.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 61(1): 17-38
1975
ISSN/ISBN: 0035-1040 PMID: 124068 Document Number: 85414
Scoliosis is a complication of spinal lesions in neurofibromatosis, and leads frequently to major deformities with dislocations. The authors conducted a critical study of 31 cases surgically treated during the 1954-73 period of time. The techniques of spine straightening and of arthrodesis were recalled. The authors conclude that in case of moderate deformity (less than 100 degrees) Harrington's operation was satisfactory enough when correctly conducted. In case of severe dislocation and kyphosis, straightening was obtained after long lasting casts and halo tractions. Then posterior fusion using Harrington's rods had usually to be completed by anterior, transthoracic fusion for better solidity.