{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:15Z","timestamp":1787755815909,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 14-year-old girl with neurofibromatosis type 1 (NF1) and dystrophic scoliosis (dural ectasia, posterior vertebral scalloping, and vertebral drift) sustained a lumbar fracture dislocation while cheerleading. She presented with hip pain and a normal neurological examination. She underwent staged posterior spinal fusion with temporary spinopelvic distraction, and then anterior corpectomy and interbody fusion, achieving full recovery at 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In NF1 with dystrophic scoliosis, fracture dislocations may be difficult to appreciate on radiographs. Urgent advanced imaging is essential for timely diagnosis and treatment to reduce morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00438","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T18:00:16Z","timestamp":1773943216000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Lumbar Fracture Dislocation in a 14-Year-Old with Dystrophic Scoliosis, Neurofibromatosis Type 1, and a Normal Neurologic Examination"],"prefix":"10.2106","volume":"16","author":[{"given":"Jessica M.","family":"Westfall","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9338-3758","authenticated-orcid":false,"given":"Shray","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3176-5378","authenticated-orcid":false,"given":"Jacob L.","family":"Willen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Summa Health, Akron, Ohio"},{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6587-1905","authenticated-orcid":false,"given":"Todd F.","family":"Ritzman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2977-5734","authenticated-orcid":false,"given":"Lorena V.","family":"Floccari","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"5","key":"bib1-20260319","doi-asserted-by":"crossref","first-page":"335","DOI":"10.3928\/01477447-20100329-20","article-title":"Research update and recent developments in the management of scoliosis in neurofibromatosis type 1","volume":"33","author":"Wang","year":"2010","journal-title":"Orthopedics."},{"issue":"7","key":"bib2-20260319","doi-asserted-by":"crossref","first-page":"881","DOI":"10.3390\/healthcare9070881","article-title":"Natural history of scoliosis in children with NF1: an observation study","volume":"9","author":"Toro","year":"2021","journal-title":"Healthcare (Basel)."},{"issue":"8 suppl","key":"bib3-20260319","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/00007632-199208001-00005","article-title":"Prevalence of scoliosis in neurofibromatosis","volume":"17","author":"Akbarnia","year":"1992","journal-title":"Spine."},{"key":"bib4-20260319","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jspd.2012.04.004","article-title":"Neurofibromatosis: etiology, commonly encountered spinal deformities, common complications and pitfalls of surgical treatment","volume":"1","author":"Crawford","year":"2012","journal-title":"Spine Deformity."},{"issue":"5","key":"bib5-20260319","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2022.2.FOCUS21790","article-title":"Management and surgical outcomes of dystrophic scoliosis in neurofibromatosis type 1: a systematic review","volume":"52","author":"Neifert","year":"2022","journal-title":"Neurosurg Focus."},{"issue":"5","key":"bib6-20260319","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s00586-004-0829-7","article-title":"Spinal deformity in neurofibromatosis type-1: diagnosis and treatment","volume":"14","author":"Tsirikos","year":"2005","journal-title":"Eur Spine J."},{"issue":"4","key":"bib7-20260319","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.ocl.2007.03.008","article-title":"Scoliosis associated with neurofibromatosis","volume":"38","author":"Crawford","year":"2007","journal-title":"Orthop Clin North Am."},{"key":"bib8-20260319","doi-asserted-by":"crossref","first-page":"16889","DOI":"10.1038\/s41598-021-96310-x","article-title":"Phenotyping spinal abnormalities in patients with neurofibromatosis type 1 using whole-body MRI","volume":"11","author":"Well","year":"2021","journal-title":"Sci Rep."},{"issue":"23","key":"bib9-20260319","doi-asserted-by":"crossref","first-page":"2770","DOI":"10.1097\/00007632-199712010-00014","article-title":"Spine update. 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