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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 2  |  Page : 79-82

Dystrophic thoracic spine dislocation associated with type-1 neurofibromatosis: Case report and rationale for treatment


1 Department of Spine Surgery, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia
2 Department of Spine Surgery, Instituto de Ortopedia Infantil Roosevelt, Bogotá; Department of Neurologic Research, Health Sciences and Neurosciences (CISNEURO) Research Group, Cartagena de Indias, Cartagena; Department of Neurosurgery, Universidad de Cartagena, Cartagena, Colombia

Correspondence Address:
Dr. Gabriel Alcalá-Cerra
Health Sciences and Neurosciences (CISNEURO) Research Group/Grupo de Investigación en Ciencias de la Saludy Neurociencias (CISNEURO). Calle 29 No. 50-50, Cartagena de Indias
Colombia
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Source of Support: Health Sciences and Neurosciences (CISNEURO) Research Group. Cartagena de Indias, Colombia, Conflict of Interest: None


DOI: 10.4103/0974-8237.156067

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The authors report a rare case of spontaneous dystrophic thoracic spine dislocation in a 14-year-old boy with neurofibromatosis type 1 (NF-1). Anteroposterior and lateral standing radiographs showed a dysplastic kyphoscoliotic deformity, with the thoracic kyphosis and scoliosis measuring 75° and 69°, respectively. Three-dimensional reconstruction after computed tomography demonstrated spondyloptosis at T5-T6 with overlapping of T5 over T6 and T7. The patient underwent circumferential fusion with anterior fibular strut grafting mechanically secured between the inferior and superior endplates of T5 and T7 followed by an instrumented posterior fusion from T2 to L1 and thoracoplasty. There was satisfactory resolution of the deformity with stabilization at the last follow-up evaluation.


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