Neurosurgery clinics of North America
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This article reviews current published literature regarding pediatric iatrogenic spinal deformity, with particular emphasis on the cervical spine. The results of published series reporting the incidence, etiology, age, risk factors, surgical techniques, and treatment options are summarized. Iatrogenic deformity resulting from radiation therapy and a variety of surgical procedures are addressed.
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Neurosurg. Clin. N. Am. · Oct 2007
ReviewNewer technologies for the treatment of scoliosis in the growing spine.
Progressive scoliosis in the growing child poses a unique challenge. The surgeon aims to attain maximal curve correction while maintaining spinal and thoracic growth. Nonoperative treatments include bracing and serial casting. ⋯ These include growing rods, intervertebral body stapling, and the vertical expandable prosthetic titanium rib. Each of these offers unique advantages and disadvantages. In this article, the authors review these newer technologies for treatment of the growing spine.
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Pediatric thoracolumbar spinal trauma is a relatively rare event. It is important to understand the unique mechanical, diagnostic, and management considerations of this patient population. Inadequate recognition of thoracolumbar spinal injuries or suboptimal management may lead to less than ideal clinical outcomes in a population of patients who otherwise would have had great potential for recovery.