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PubMed · 6450097

[Computer tomography for spinal tumours (author's transl)].

Abstract

Computer tomography was carried out in 32 patients with 34 spinal tumours, sometimes after intravenous or intra-thecal contrast administration. Using commercial CT scanners, non-invasive methods at present are only able to show tumours with either very low or very high density situated in the vertebral canal, or particularly vascular tumours. The best results are obtained in the cervical region. Non-invasive CT diagnosis can also demonstrate paravertebral tumours, particularly in the chest. This is also true for neoplastic processes arising from the axial skeleton. Invasive procedures such as primary and secondary CT myelography can demonstrate quite small intraspinal space-occupying lesions. Primary CT myelography can be used as an alternative to conventional meylography in suitable cases, secondary CT myelography can provide important additional information.

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BibTeXRIS

K Sartor. 1980. [Computer tomography for spinal tumours (author's transl)].. https://doi.org/10.1055/s-2008-1056584

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Surgical treatment of cervical kyphosis in Larsen syndrome: report of 3 cases and review of the literature.

STUDY DESIGN: A retrospective case series. OBJECTIVE: To review the surgical results for midcervical kyphosis in 3 cases with Larsen syndrome, and to discuss the choice of surgical treatments. SUMMARY OF BACKGROUND DATA: Cervical kyphosis is the most hazardous and serious manifestation of Larsen syndrome due to the risk of life-threatening paralysis, and thus usually requires surgical treatment. However, little information has been reported concerning surgical treatments for this challenging condition. METHODS: Three patients with Larsen syndrome were surgically treated for midcervical kyphosis at our institution. RESULTS: An infant with mild cervical kyphosis was successfully treated with posterior arthrodesis using a halo immobilization, and anterior vertebral growth with a mature posterior fusion mass resulted in spontaneous correction of the kyphosis. In the remaining 2 infants with myelopathic symptoms due to severe and structural kyphosis, anterior decompression and fusion via a lateral approach followed by posterior fusion with segmental spinal instrumentation and halo immobilization resulted in improved neurologic symptoms and solid fusion. CONCLUSIONS: Posterior spinal fusion is only indicated for patients with mild and flexible cervical kyphosis, and anterior decompression and circumferential arthrodesis is required for patients with severe kyphotic deformity, who usually develop myelopathic symptoms. Anterior surgery for such a small patient with severe kyphosis involves much higher risk of spinal cord injury during decompression maneuvers and difficulty in stabilization of the reconstructed cervical spine. Therefore, all patients with Larsen syndrome should be screened with radiographs at the first visit to detect cervical kyphosis early so that posterior alone fusion is possible.

Cervical Vertebrae↗