Abstract
Study design:
The study design was a case report with 30-year follow-up.
Objectives:
In 1980, there were no pedicle screws available, so it was a great challenge to achieve correction and fusion in a patient with no laminae, and who was quadriplegic. Such a case with such a long follow-up has not been previously reported.
Methods:
This is a single case report with an ultra-long follow-up. The patient underwent an anterior fusion from T3 to L4 via two incisions, and at a second stage, a posterior fusion from T3 to S1 using Luque rods and wires passed through the foramenae. After 2 years he underwent repair of two pseudarthroses with both anterior and posterior procedures.
Results:
He achieved solid fusion following the pseudarthrosis repair. Although being a C7 quadriplegic all his life, he is totally independent in his activities of daily living, and is fully employed.
Conclusion:
Correction and fusion can be achieved even in the absence of laminae and pedicle screws.
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References
Luque E . The anatomic basis and development of segmental spinal instrumentation. Spine 1982; 7: 256–259.
Allen BL, Ferguson RL . L-rod instrumentation for scoliosis in cerebral palsy. J Pediat Orthop 1982; 2: 87–96.
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Winter, R., Akbarnia, B. Case report: 122° kyphosis secondary to C5–L3 laminectomy and quadriplegia, surgical correction and 30-year follow-up. Spinal Cord 49, 1023–1024 (2011). https://doi.org/10.1038/sc.2011.24
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DOI: https://doi.org/10.1038/sc.2011.24
