000			03061na a2200265 4500
999			_c4796 _d4796
003			PC4796
005			20191119062649.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aCurto de la Mano, Ángel _9881 _eCirugía Ortopédica y Traumatología
100			_aPretell Mazzini, Juan _9878 _eCirugía Ortopédica y Traumatología
100			_aViña Fernández, Rafael _91418 _eTraumatología y Ortopedia
100			_92604 _aMartín Fuentes, Ana María _eCirugía Ortopédica y Traumatología
245	0	0	_aHigh-grade spondyloretrolisthesis in a 12-year-old girl with neurofibromatosis type 1: a case report and literature review. _h[artículo]
260			_bJournal of pediatric orthopedics. Part B, _c2013
300			_a22(2):110-6.
500			_aFormato Vancouver: Martín-Fuentes AM, Pretell-Mazzini J, Curto de la Mano A, Viña-Fernández R. High-grade spondyloretrolisthesis in a 12-year-old girl with neurofibromatosis type 1: a case report and literature review. J Pediatr Orthop B. 2013 Mar;22(2):110-6.
501			_aPMID:22863687
504			_aContiene 14 referencias
520			_aNeurofibromatosis (NF) type 1 is characterized by several skin, endocrine, central nervous system and musculoskeletal manifestations, spine deformities being the most common, affecting up to 64% of patients. Thoracic kyphoscoliosis is the most common deformity observed; however, high-grade spondylolisthesis and dural defects such as dural ectasia can also be found. The aim of this study is to describe a case of high-grade spondyloretrolisthesis in an NF-1 patient, associated with dural ectasia and extensive lumbar laminectomies, and to discuss our management and review the current literature on this controversial topic. A 12-year-old girl with NF-1 who had undergone extensive lumbar laminectomies in an outside facility presented to our emergency department complaining of back pain and lower limbs upper motor neuron symptoms. Image studies showed a high-grade lumbar spondyloretrolisthesis associated with dural ectasia. The first step of treatment was spine immobilization using a Boston brace. An anterior approach was used, and an L2 corporectomy was performed, using a Moss type cage between L1 and L3 with an instrumented arthrodesis and autologous bone graft for stabilization purposes. The second step planned was a posterior approach for arthrodesis and instrumentation, but after an extensive discussion with the parents and the patient, the parents did not agree to the procedure planned for the patient. A brace was used for 1 year while rehabilitation was performed. At the 1-year follow-up, there was a 70° kyphosis at the thoracolumbar junction but it was clinically stable, with an acceptable sagittal balance. Dural ectasia is not a common finding in children with NF-1; however, it should be identified as its presence may predispose to spine instability and as a consequence the development of a high-grade spondyloretrolisthesis. Even though a few cases have been reported, we believe that it is important to consider the option of a double approach to achieve a better correction in both planes and a good outcome. If an extensive laminectomy is involved, it is mandatory to perform a posterior fusion and instrumentation.
710			_9371 _aServicio de Cirugía Ortopédica y Traumatología
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/4/pc4796.pdf _ySolicitar documento
942			_n0 _2ddc _cART