{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,8]],"date-time":"2023-04-08T05:06:18Z","timestamp":1680930378786},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Resection of intramedullary spinal cord tumors (IMSCTs) in pediatric patients results in a high incidence of spinal deformity (i.e., kyphoscoliosis often requiring fusion). Here, a 6-year-old male underwent a spinal fusion to correct postlaminectomy thoracic kyphosis following resection of an IMSCT.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 6-year-old male initially underwent multilevel thoracic laminectomies for resection of an IMSCT. Six months later, he presented with the onset of kyphoscoliosis. During adolescence he became increasingly paraparetic due to a thoracic kyphosis that had now progressed to 118\u00b0. He underwent a 360 decompression\/fusion that included a T1-T9 laminectomy, a T5 to T11 anterior interbody arthrodesis\/rib autograft, and posterolateral T2-T12 fusion\/iliac crest autograft with Harrington rods placed from T5 to T12. Postoperative radiographs showed the thoracic kyphosis improved to 62\u00b0. However, 4.5 years later, X-rays showed the thoracic kyphosis newly progressed to 90\u00b0 (i.e., from T3 to T12). Thirty-four years after this corrective surgery, he remained neurologically intact with only mild complaints of balance changes, and bladder\/bowel urgency while radiographs confirmed continued stability. Further, the thoracic magnetic resonance imaging showed only chronic thoracic spine\/cord changes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>A 6-year-old child originally underwent a thoracic laminectomy for an IMSCT. As an adolescent, due to progressive postlaminectomy kyphosis, he underwent a successful secondary thoracic 360\u00b0 decompression\/ fusion. Notably, 34 years later, he did not require any surgical revision.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_177_2023","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T07:07:26Z","timestamp":1680851246000},"page":"127","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal fusion for postlaminectomy kyphosis following intramedullary spinal cord tumor resection: A 34-year follow-up"],"prefix":"10.25259","volume":"14","author":[{"given":"Gabrielle","family":"Santangelo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Rochester, Strong Memorial Hospital, Rochester, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasenjit","family":"Saha","sequence":"additional","affiliation":[{"name":"Medical School, Upstate Medical University, Syracuse, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun","family":"Puvanesarajah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Rochester, Rochester, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Menga","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Rochester, Rochester, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Addisu","family":"Mesfin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Rochester, Rochester, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"10.25259\/SNI_177_2023\/ref-1","doi-asserted-by":"crossref","first-page":"613","DOI":"10.3171\/2014.1.PEDS13317","article-title":"Long-term incidence and risk 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Case report","volume":"35","author":"Duman","year":"2012","journal-title":"J Spinal Cord Med"},{"key":"10.25259\/SNI_177_2023\/ref-5","doi-asserted-by":"crossref","first-page":"E12","DOI":"10.3171\/2017.7.FOCUS17329","article-title":"Instrumented fusion for spinal deformity after laminectomy or laminoplasty for resection of intramedullary spinal cord tumors in pediatric patients","volume":"43","author":"Hersh","year":"2017","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_177_2023\/ref-6","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1102\/1470-7330.2009.9012","article-title":"Pediatric tumors of the spine","volume":"9","author":"Huisman","year":"2009","journal-title":"Cancer Imaging"},{"key":"10.25259\/SNI_177_2023\/ref-7","doi-asserted-by":"crossref","first-page":"334","DOI":"10.3171\/2012.7.PEDS11526","article-title":"Two-level thoracic pedicle subtraction osteotomy for progressive post-laminectomy kyphotic deformity following resection of an unusual 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