{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T12:50:09Z","timestamp":1772110209131,"version":"3.50.1"},"reference-count":27,"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>Surgical correction of spinal deformities with coexisting intraspinal pathology (SDCIP) requires special consideration to minimize risks of further injury to an already abnormal spinal cord. However, there is a paucity of literature on this topic. Here, the authors present a pediatric patient with a residual pilocytic astrocytoma and syringomyelia who underwent surgical correction of progressive postlaminectomy kyphoscoliosis. Techniques employed are compared to those in the literature to compile a set of guidelines for surgical correction of SDCIP.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>A systematic MEDLINE search was conducted using the following keywords; \u201cpediatric,\u201d \u201cspinal tumor resection,\u201d \u201cdeformity correction,\u201d \u201cpostlaminectomy,\u201d \u201cscoliosis correction,\u201d \u201cintraspinal pathology,\u201d \u201ctethered cord,\u201d \u201csyringomyelia,\u201d or \u201cdiastematomyelia.\u201d Recommendations for surgical technique for pediatric SDCIP correction were reviewed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>The presented case demonstrates recommendations that primarily compressive forces on the convexity of the coronal curve should be used when performing <jats:italic>in situ<\/jats:italic> correction of SDCIP. Undercorrection is favored to minimize risks of traction on the abnormal spinal cord. The literature yielded 13 articles describing various intraoperative techniques. Notably, seven articles described use of compressive forces on the convex side of the deformity as the primary mode of correction, while only five articles provided recommendations on how to safely and effectively surgically correct SDCIP.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The authors demonstrated with their case analysis and literature review that there are no clear current guidelines regarding the safe and effective techniques for <jats:italic>in situ<\/jats:italic> correction and fusion for the management of pediatric SDCIP.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_593_2021","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T05:10:24Z","timestamp":1627967424000},"page":"381","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical correction of pediatric spinal deformities with coexisting intraspinal pathology: A case report and literature review"],"prefix":"10.25259","volume":"12","author":[{"given":"Daphne","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas E.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russ P.","family":"Nockels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,8,3]]},"reference":[{"key":"10.25259\/SNI_593_2021\/ref-1","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/01.bpb.0000271334.73643.81","article-title":"Safety and efficacy of posterior instrumentation for patients with congenital scoliosis and spinal dysraphism","volume":"27","author":"Ayvaz","year":"2007","journal-title":"J Pediatr Orthop"},{"key":"10.25259\/SNI_593_2021\/ref-2","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s00586-011-1749-y","article-title":"Thoracic pedicle subtraction osteotomy in the treatment of severe pediatric deformities","volume":"20","author":"Bakaloudis","year":"2011","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_593_2021\/ref-3","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.ijscr.2013.05.008","article-title":"Generalized epileptic seizure in an adolescent idiopathic scoliosis (AIS) patient with syringomyelia after deformity correction surgery","volume":"4","author":"Cecen","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"10.25259\/SNI_593_2021\/ref-4","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s00586-004-0778-1","article-title":"Late-onset spinal deformities in children treated by laminectomy and radiation therapy for malignant tumours","volume":"14","author":"de Jonge","year":"2005","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_593_2021\/ref-5","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/s00381-010-1115-0","article-title":"Intraoperative neurophysiological monitoring during complex spinal deformity cases in pediatric patients: Methodology, utility, prognostication, and outcome","volume":"26","author":"Drake","year":"2010","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_593_2021\/ref-6","first-page":"2135","volume-title":"Management of Intramedullary Spinal Cord Tumors","volume":"Ch. 188","author":"Gokaslan","year":"2012"},{"key":"10.25259\/SNI_593_2021\/ref-7","doi-asserted-by":"crossref","first-page":"608","DOI":"10.2106\/00004623-198163040-00011","article-title":"Surgical treatment of congenital scoliosis with or without Harrington instrumentation","volume":"63","author":"Hall","year":"1981","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_593_2021\/ref-8","doi-asserted-by":"crossref","first-page":"E1103","DOI":"10.1097\/BRS.0000000000001035","article-title":"Surgical treatment of congenital scoliosis associated with tethered cord by thoracic spine-shortening osteotomy without cord detethering","volume":"40","author":"Huang","year":"2015","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_593_2021\/ref-9","doi-asserted-by":"crossref","first-page":"293","DOI":"10.3171\/2009.9.SPINE09377","article-title":"Simultaneous double-rod rotation technique in posterior instrumentation surgery for correction of adolescent idiopathic scoliosis","volume":"12","author":"Ito","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_593_2021\/ref-10","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.spinee.2018.05.027","article-title":"Surgical treatment for severe and rigid scoliosis: A case-matched study between idiopathic scoliosis and syringomyelia-associated scoliosis","volume":"19","author":"Li","year":"2019","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_593_2021\/ref-11","doi-asserted-by":"crossref","first-page":"E965","DOI":"10.1097\/BRS.0b013e3181af7a6a","article-title":"Progressive kyphoscoliosis associated with tethered cord treated by posterior vertebral column resection: A case report","volume":"34","author":"Matsumoto","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_593_2021\/ref-12","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1097\/00007632-199406000-00018","article-title":"Syringomyelia. A potential risk factor in scoliosis surgery","volume":"19","author":"Noordeen","year":"1994","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_593_2021\/ref-13","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/BSD.0b013e3182060337","article-title":"Comparison of surgical outcomes of lenke type 1 idiopathic scoliosis: Vertebral coplanar alignment versus derotation technique","volume":"24","author":"Qiu","year":"2011","journal-title":"J Spinal Disord Tech"},{"key":"10.25259\/SNI_593_2021\/ref-14","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1302\/2058-5241.2.170002","article-title":"Correction manoeuvres in the surgical treatment of spinal deformities","volume":"2","author":"Senkoylu","year":"2017","journal-title":"EFORT Open Rev"},{"key":"10.25259\/SNI_593_2021\/ref-15","doi-asserted-by":"crossref","first-page":"295","DOI":"10.2106\/JBJS.O.00428","article-title":"Does surgical correction of right thoracic scoliosis in syringomyelia produce outcomes similar to those in adolescent idiopathic scoliosis?","volume":"98","author":"Sha","year":"2016","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_593_2021\/ref-16","doi-asserted-by":"crossref","first-page":"294","DOI":"10.4103\/JPN.JPN_100_17","article-title":"Intraspinal anomalies in early onset scoliosis: Current concepts","volume":"13","author":"Singrakhia","year":"2018","journal-title":"J Pediatr Neurosci"},{"key":"10.25259\/SNI_593_2021\/ref-17","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1097\/BRS.0000000000000364","article-title":"Surgical treatment of lenke 1 thoracic adolescent idiopathic scoliosis with maintenance of kyphosis using the simultaneous double-rod rotation technique","volume":"39","author":"Sudo","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_593_2021\/ref-18","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/1471-2474-14-175","article-title":"Bilateral apical vertebral derotation technique by vertebral column manipulation compared with vertebral coplanar alignment technique in the correction of lenke Type 1 idiopathic scoliosis","volume":"14","author":"Sun","year":"2013","journal-title":"BMC Musculoskelet Disord"},{"key":"10.25259\/SNI_593_2021\/ref-19","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1097\/CORR.0000000000000652","article-title":"Is it possible to correct congenital spinal deformity associated with a tethered cord without prophylactic intradural detethering?","volume":"477","author":"Tao","year":"2019","journal-title":"Clin Orthop Relat Res"},{"key":"10.25259\/SNI_593_2021\/ref-20","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3171\/2014.9.SPINE13528","article-title":"Successful treatment of a patient with congenital kyphoscoliosis associated with tethered cord","volume":"22","author":"Tao","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_593_2021\/ref-21","doi-asserted-by":"crossref","first-page":"E260","DOI":"10.1097\/BSD.0b013e3182821303","article-title":"One-stage correction surgery of scoliosis associated with syringomyelia: Is it safe to leave untreated a syrinx without neurological symptom?","volume":"28","author":"Wang","year":"2015","journal-title":"J Spinal Disord Tech"},{"key":"10.25259\/SNI_593_2021\/ref-22","article-title":"Youmans Neurological Surgery","volume":"Ch. 290","author":"Winn","year":"2011"},{"key":"10.25259\/SNI_593_2021\/ref-23","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1007\/s00586-011-1717-6","article-title":"One-stage and posterior approach for correction of moderate to severe scoliosis in adolescents associated with Chiari I malformation: Is a prior suboccipital decompression always necessary?","volume":"20","author":"Xie","year":"2011","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_593_2021\/ref-24","first-page":"463","article-title":"Risk factors for progressive spinal deformity following resection of intramedullary spinal cord tumors in children: An analysis of 161 consecutive cases","volume":"107","author":"Yao","year":"2007","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_593_2021\/ref-25","doi-asserted-by":"crossref","first-page":"441","DOI":"10.3171\/jns.1982.57.4.0441","article-title":"Incidence of spinal column deformity after multilevel laminectomy in children and adults","volume":"57","author":"Yasuoka","year":"1982","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_593_2021\/ref-26","doi-asserted-by":"crossref","first-page":"41229","DOI":"10.1038\/srep41229","article-title":"Safety and efficacy of single-stage surgical treatment for congenital scoliosis associated with intraspinal mass","volume":"7","author":"Zhang","year":"2017","journal-title":"Sci Rep"},{"key":"10.25259\/SNI_593_2021\/ref-27","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3171\/2019.1.SPINE181205","article-title":"Do untreated intraspinal anomalies in congenital scoliosis impact the safety and efficacy of spinal correction surgery? A retrospective case-control study","volume":"31","author":"Zhao","year":"2019","journal-title":"J Neurosurg Spine"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/surgical-correction-of-pediatric-spinal-deformities-with-coexisting-intraspinal-pathology-a-case-report-and-literature-review\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-correction-of-pediatric-spinal-deformities-with-coexisting-intraspinal-pathology-a-case-report-and-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T05:10:38Z","timestamp":1627967438000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/surgical-correction-of-pediatric-spinal-deformities-with-coexisting-intraspinal-pathology-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,3]]},"references-count":27,"alternative-id":["10.25259\/SNI_593_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_593_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,3]]},"article-number":"381"}}