Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2020; 11(11): 523-527
Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.523
Modified surgical treatment for a patient with neurofibromatosis scoliosis: A case report
Yan Shi, Yun-He Li, Zhi-Ping Guan, Yong-Can Huang, Bin-Sheng Yu
Yan Shi, Yun-He Li, Zhi-Ping Guan, Yong-Can Huang, Bin-Sheng Yu, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
Author contributions: Shi Y and Li YH contributed equally to the drafting of the manuscript and performed the analysis and interpretation of the imagine findings; Shi Y, Guan ZP, and Yu BS performed the surgery; Huang YC wrote and revised the article for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by The National Natural Science Foundation of China, No. U1613224; and the Shenzhen Double Chain Project for Innovation and Development Industry, No. 201806081018272960.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bin-Sheng Yu, PhD, Chief Doctor, Surgeon, Department of Spine Surgery, Peking University Shenzhen Hospital, No. 1120 Lianhua Road, Futian District, Shenzhen 518036, Guangdong Province, China. hpyubinsheng@hotmail.com
Received: April 12, 2020
Peer-review started: April 12, 2020
First decision: August 23, 2020
Revised: September 7, 2020
Accepted: October 5, 2020
Article in press: October 5, 2020
Published online: November 18, 2020
Processing time: 216 Days and 5.5 Hours
Abstract
BACKGROUND

The correction surgery for severely multidimensional spinal deformity in neurofibromatosis type I is very difficult and it is still a very big challenge for spine surgeons.

CASE SUMMARY

A 44-year-old woman presented with progressive kyphosis for more than 10 years and low back pain for 2 years. She had been diagnosed with neurofibromatosis at a local hospital many years ago. Conservative treatments had been applied, but the symptoms got worse rather than alleviated. Therefore, surgery was required.

CONCLUSION

For this patient with severe deformity, the correction treatment of Ponte osteotomy followed by satellite rod technique in the region of the apical vertebra and the technique of pedicle screws and dual iliac screws had been applied, and successful clinical outcomes were achieved.

Keywords: Neurofibromatosis type I; Spinal thoracolumbar kyphosis; Ponte osteotomy; Satellite rods technique; Case report

Core Tip: The neurofibromatosis type I (NF-I) dystrophic spinal deformity can be very severe. Thus, sufficient and exquisite preoperative assessment is significantly important for the correction surgery. In this study, we creatively performed a modified surgery for a patient with NF-I dystrophic spinal deformity.