Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Orthopedics
Volume 2016, Article ID 2908915, 9 pages
http://dx.doi.org/10.1155/2016/2908915
Case Report

Surgical Management of Intracanal Rib Head Dislocation in Neurofibromatosis Type 1 Dystrophic Kyphoscoliosis: Report of Two Cases and Literature Review

Royal Hospital for Sick Children, Scottish National Spine Deformity Centre, Sciennes Road, Edinburgh EH9 1LF, UK

Received 9 April 2016; Accepted 1 June 2016

Academic Editor: William B. Rodgers

Copyright © 2016 George I. Mataliotakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. I. Tsirikos, A. Saifuddin, and M. H. Noordeen, “Spinal deformity in neurofibromatosis type-1: diagnosis and treatment,” European Spine Journal, vol. 14, no. 5, pp. 427–439, 2005. View at Publisher · View at Google Scholar · View at Scopus
  2. N. Yalcin, E. Bar-on, and M. Yazici, “Impingement of spinal cord by dislocated rib in dystrophic scoliosis secondary to neurofibromatosis type 1: radiological signs and management strategies,” Spine, vol. 33, no. 23, pp. E881–E886, 2008. View at Publisher · View at Google Scholar · View at Scopus
  3. M. Cappella, N. Bettini, E. Dema, M. Girardo, and S. Cervellati, “Late post-operative paraparesis after rib penetration of the spinal canal in a patient with neurofibromatous scoliosis,” Journal of Orthopaedics and Traumatology, vol. 9, no. 3, pp. 163–166, 2008. View at Publisher · View at Google Scholar · View at Scopus
  4. J. Ton, R. Stein-Wexler, P. Yen, and M. Gupta, “Rib head protrusion into the central canal in type 1 neurofibromatosis,” Pediatric Radiology, vol. 40, no. 12, pp. 1902–1909, 2010. View at Publisher · View at Google Scholar · View at Scopus
  5. K. I. Khoshhal and R. D. Ellis, “Paraparesis after posterior spinal fusion in neurofibromatosis secondary to rib displacement: case report and literature review,” Journal of Pediatric Orthopaedics, vol. 20, no. 6, pp. 799–801, 2000. View at Publisher · View at Google Scholar · View at Scopus
  6. M. H. Abdulian, R. W. Liu, J. P. Son-Hing, G. H. Thompson, and D. G. Armstrong, “Double rib penetration of the spinal canal in a patient with neurofibromatosis,” Journal of Pediatric Orthopaedics, vol. 31, no. 1, pp. 6–10, 2011. View at Publisher · View at Google Scholar · View at Scopus
  7. I. A. Mukhtar, M. Letts, and K. Kontio, “Spinal cord impingement by a displaced rib in scoliosis due to neurofibromatosis,” Canadian Journal of Surgery, vol. 48, no. 5, pp. 414–415, 2005. View at Google Scholar · View at Scopus
  8. A. Gkiokas, S. Hadzimichalis, E. Vasiliadis, M. Katsalouli, and G. Kannas, “Painful rib hump: a new clinical sign for detecting intraspinal rib displacement in scoliosis due to neurofibromatosis,” Scoliosis, vol. 1, no. 1, article 10, pp. 1–4, 2006. View at Publisher · View at Google Scholar · View at Scopus
  9. M. Deguchi, N. Kawakami, H. Saito, K. Arao, K. Mimatsu, and H. Iwata, “Paraparesis after rib penetration of the spinal canal in neurofibromatous scoliosis,” Journal of Spinal Disorders, vol. 8, no. 5, pp. 363–367, 1995. View at Google Scholar · View at Scopus
  10. S. Mao, B. Shi, S. Wang et al., “Migration of the penetrated rib head following deformity correction surgery without rib head excision in dystrophic scoliosis secondary to type 1 Neurofibromatosis,” European Spine Journal, vol. 24, no. 7, pp. 1502–1509, 2015. View at Publisher · View at Google Scholar · View at Scopus
  11. D. Sun, F. Dai, Y. Y. Liu, and J.-Z. Xu, “Posterior-only spinal fusion without rib head resection for treating type I neurofibromatosis with intracanal rib head dislocation,” Clinics, vol. 68, no. 12, pp. 1521–1527, 2013. View at Publisher · View at Google Scholar · View at Scopus
  12. B. M. Flood, W. P. Butt, and R. A. Dickson, “Rib penetration of the intervertebral foraminae in neurofibromatosis,” Spine, vol. 11, no. 2, pp. 172–174, 1986. View at Publisher · View at Google Scholar · View at Scopus
  13. M. R. Major and B. A. Huizenga, “Spinal cord compression by displaced ribs in neurofibromatosis. A report of three cases,” Journal of Bone and Joint Surgery—Series A, vol. 70, no. 7, pp. 1100–1102, 1988. View at Google Scholar · View at Scopus
  14. M. G. Lykissas, E. K. Schorry, A. H. Crawford, S. Gaines, M. Rieley, and V. V. Jain, “Does the presence of dystrophic features in patients with type 1 neurofibromatosis and spinal deformities increase the risk of surgery?” Spine, vol. 38, no. 18, pp. 1595–1601, 2013. View at Publisher · View at Google Scholar · View at Scopus
  15. J. N. Dacher, S. Zakine, M. Monroc, D. Eurin, J. Lechevallier, and P. Le Dosseur, “Rib displacement threatening the spinal cord in a scoliotic child with neurofibromatosis,” Pediatric Radiology, vol. 25, no. 1, pp. 58–59, 1995. View at Publisher · View at Google Scholar · View at Scopus
  16. A. H. Crawford, “Neurofibromatosis,” in The Pediatric Spine: Principles and Practice, S. L. Weinstein, Ed., pp. 471–490, Lippincott Williams & Wilkins, Philadelphia, Pa, USA, 2001. View at Google Scholar
  17. Y. L. Leung, M. Grevitt, L. Henderson, and J. Smith, “Cord monitoring changes and segmental vessel ligation in the ‘at risk’ cord during anterior spinal deformity surgery,” Spine, vol. 30, no. 16, pp. 1870–1874, 2005. View at Publisher · View at Google Scholar · View at Scopus
  18. G. Cheh, L. G. Lenke, A. M. Padberg et al., “Loss of spinal cord monitoring signals in children during thoracic kyphosis correction with spinal osteotomy: why does it occur and what should you do?” Spine, vol. 33, no. 10, pp. 1093–1099, 2008. View at Publisher · View at Google Scholar · View at Scopus
  19. K. Shimizu, M. Nakamura, Y. Nishikawa, S. Hijikata, K. Chiba, and Y. Toyama, “Spinal kyphosis causes demyelination and neuronal loss in the spinal cord: a new model of kyphotic deformity using juvenile Japanese small game fowls,” Spine, vol. 30, no. 21, pp. 2388–2392, 2005. View at Publisher · View at Google Scholar · View at Scopus
  20. S. V. Kamath, P. K. Kleinman, R. L. Ragland et al., “Intraspinal dislocation of the rib in neurofibromatosis: a case report,” Pediatric Radiology, vol. 25, no. 7, pp. 538–539, 1995. View at Publisher · View at Google Scholar · View at Scopus
  21. B. Legrand, G. Filipe, A. Blamoutier, N. Khouri, and P. Mary, “Intraspinal rib penetration in four patients in neurofibromatosis vertebral deformities,” Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteu, vol. 89, no. 1, pp. 57–61, 2003. View at Google Scholar
  22. R. Krishnakumar and J. Renjitkumar, “Teaching NeuroImages: rib penciling and intraspinal dislocation of rib heads in type 1 neurofibromatosis,” Neurology, vol. 78, no. 13, article e85, 2012. View at Publisher · View at Google Scholar