دورية أكاديمية
Surgical management of high-grade lumbar spondylolisthesis associated with Hajdu-Cheney syndrome: illustrative case.
| العنوان: | Surgical management of high-grade lumbar spondylolisthesis associated with Hajdu-Cheney syndrome: illustrative case. |
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| المؤلفون: | Ndongo Sonfack DJ; 1Department of Surgery, Laval University, Québec, Québec, Canada; and., Bergeron D; Departments of2Neurosurgery and., Wang Z; 3Orthopedics, University of Montréal Hospital Center, Montréal, Québec, Canada., Boubez G; 3Orthopedics, University of Montréal Hospital Center, Montréal, Québec, Canada., Shedid D; Departments of2Neurosurgery and., Yuh SJ; Departments of2Neurosurgery and. |
| المصدر: | Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2022 Aug 15; Vol. 4 (7). Date of Electronic Publication: 2022 Aug 15 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group Country of Publication: United States NLM ID: 9918227275606676 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2694-1902 (Electronic) Linking ISSN: 26941902 NLM ISO Abbreviation: J Neurosurg Case Lessons Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Charlottesville, VA] : American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group, [2021]- |
| مستخلص: | Background: Hajdu-Cheney syndrome (HCS) is a rare connective tissue disorder characterized by severe bone demineralization. In the spine, it is associated with the early onset of severe osteoporosis and can cause spondylolisthesis. Spinal instrumentation in the setting of severe osteoporosis is challenging because of poor resistance of vertebrae to biomechanical stress. Observations: A 59-year-old woman with known idiopathic HCS presented with a grade 4 L5-S1 spondylolisthesis and right L5 pedicle fracture associated with a left L5 pars fracture, causing a progressive L5 radiculopathy that was worse on the left side than the right side and bilateral foot drop. The authors performed decompressive lumbar surgery, which included a complete L5 laminectomy and resection of the left L5 pedicle. This was followed by multilevel lumbosacral instrumentation using cement-augmented fenestrated pedicle screws as well as transdiscal sacral screws and bilateral alar-iliac fixation. Postoperatively, the radicular pain resolved, and the left foot drop partially recovered. Lessons: Stabilization of high-grade spondylolisthesis in the setting of bone demineralization disorders is challenging. The use of different instrumentation techniques is important because it increases biomechanical stability of the overall instrumentation construct. |
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| فهرسة مساهمة: | Keywords: Hajdu-Cheney syndrome; acro-osteolysis; spinal instrumentation; spondylolisthesis |
| تواريخ الأحداث: | Date Created: 20220911 Latest Revision: 20221202 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9706325 |
| DOI: | 10.3171/CASE22171 |
| PMID: | 36088555 |
| قاعدة البيانات: | MEDLINE |
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