19 Harley St, London, W1G 9QJ, UK

Circumferential cervical surgery for spondylostenosis with kyphosis in two patients with athetoid cerebral palsy

BACKGROUND: Patients with athetoid cerebral palsy may develop severe degenerative changes in the cervical spine decades earlier than their normal counterparts due to abnormal cervical motion. METHODS: Two patients, 48 and 52 years of age, presented with moderate to severe myelopathy (Nurick Grades IV and V). MR and 3-dimensional CT studies demonstrated severe spondylostenosis with kyphosis in both patients. This necessitated multilevel anterior corpectomy with fusion (C2-C7, C3-C7) using fibula and iliac crest autograft and Orion plating, followed by posterior wiring, fusion using Songer cables, and halo placement. RESULTS: Postoperatively, both patients improved, demonstrating only mild or mild to moderate (Nurick Grades II and III) residual myelopathy. Although both fused posteriorly within 3.5 months, the patient with the fibula graft developed a fracture of the anterior C7 body with mild anterior graft migration, and inferior plate extrusion into the C7-T1 interspace. However, because he has remained asymptomatic for 9 months postoperatively, without dysphagia, removal of the plate has not yet been necessary. CONCLUSIONS: Patients with athetoid cerebral palsy should undergo early prospective cervical evaluations looking for impending cord compromise. When surgery is indicated, circumferential surgery offers the maximal degree of cord decompression and stabilization with the highest rate of fusion

Keywords : Athetosis,Cerebral Palsy,Cervical Vertebrae,complications,diagnosis,Fibula,Humans,Kyphosis,Magnetic Resonance Imaging,Male,methods,Middle Aged,Motion,Neck,Neurosurgery,pathology,Patients,Spinal Fusion,Spinal Osteophytosis,Spinal Stenosis,Spine,surgery,Tomography,X-Ray Computed,Treatment Outcome,, Cervical,Surgery,Spondylostenosis,With, how to give a massage for lower back pain

Date of Publication : 1999 Oct

Authors : Epstein NE;

Organisation : Department of Surgery (Neurosurgery), North Shore University Hospital, Manhasset, NY, USA

Journal of Publication : Surg Neurol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/10555838

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Circumferential cervical surgery for spondylostenosis with kyphosis in two patients with athetoid cerebral palsy | Lower back pain clinic london

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810