{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:15:28Z","timestamp":1780319728867,"version":"3.54.1"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Anterior cervicothoracic myelomeningoceles are a rare pathology. In reported cases, treatment has included shunting, isolated resection and repair without deformity correction, or isolated deformity correction without meningocele repair. The authors describe a pediatric patient with an anterior cervicothoracic myelomeningocele presenting with progressive neurological decline, who underwent simultaneous treatment of the myelomeningocele to detether the spinal cord and achieve major correction of the scoliotic deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 15-year-old girl was born with C7-T1-T2 hemivertebrae and anterior cervical myelomeningocele at C7\u2013T1. She developed progressive cervical thoracic scoliosis, left hemiparesis initially, and additional right hemiparesis eventually. She underwent surgical repair via C7, T1, and T2 corpectomies with intradural detethering of the spinal cord. The scoliosis was treated with C7\u2013T2 Ponte osteotomies and C2\u2013T5 posterior fixation, followed by anterior reconstruction with a titanium cage and anterior plate from C6 to T3. The myelomeningocele was adequately treated with good correction of the patient\u2019s deformity. The patient had postoperative improvement in her strength and solid arthrodesis on postoperative imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The authors describe the successful treatment of an anterior cervicothoracic myelomeningocele and associated scoliosis in a child. This is a unique report of a combined strategy to achieve both deformity correction and detethering of the spinal cord.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23710","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T12:22:54Z","timestamp":1709554974000},"source":"Crossref","is-referenced-by-count":1,"title":["Treatment of an anterior cervicothoracic myelomeningocele together with spine deformity correction in a child: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Hudin N","family":"Jackson","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nealen","family":"Laxpati","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas; and"},{"name":"Department of Neurosurgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Int J Surg Case Rep.","first-page":"107914","article-title":"Case report: a unique case of benign teratoma in the posterior mediastinum associated with anterior meningomyelocele in a one-year-old child","volume":"103","author":"Albrijawy R","year":"2023","unstructured":"Albrijawy R, Alomar K, Aldeen RS, Sharief FAL, Marwa G, Dalati H Case report: a unique case of benign teratoma in the posterior mediastinum associated with anterior meningomyelocele in a one-year-old child. Int J Surg Case Rep. 2023;103:107914."},{"key":"b2","series-title":"World Neurosurg.","first-page":"202","article-title":"Case report of an anterior thoracic myelomeningocele: a multidisciplinary approach to surgical management","volume":"143","author":"Antony J","year":"2020","unstructured":"Antony J, Neriamparambil AJ, Ma N Case report of an anterior thoracic myelomeningocele: a multidisciplinary approach to surgical management. World Neurosurg. 2020;143:202\u2013208."},{"issue":"11","key":"b3","series-title":"Radiol Case Rep.","first-page":"3815","article-title":"MRI and CT findings in anterior thoracic myelomeningocele associated with scoliosis: a case of an 8-year-old child","volume":"18","author":"Migabo PA","year":"2023","unstructured":"Migabo PA, Bulabula AA, Bujiriri RM, Baguma M, Mubenga LM, Maheshe GB MRI and CT findings in anterior thoracic myelomeningocele associated with scoliosis: a case of an 8-year-old child. Radiol Case Rep. 2023;18(11):3815\u20133819."},{"key":"b4","series-title":"J Cardiothorac Surg.","first-page":"85","article-title":"Thoracoscopic plication for a huge thoracic meningocele in a patient with neurofibromatosis","volume":"9","author":"Chen HC","year":"2014","unstructured":"Chen HC, Chang PH, Jhang SW, Wang BY Thoracoscopic plication for a huge thoracic meningocele in a patient with neurofibromatosis. J Cardiothorac Surg. 2014;9:85."},{"issue":"3","key":"b5","series-title":"J Neurosurg Spine.","first-page":"291","article-title":"Intrathoracic meningocele associated with neurofibromatosis type 1 and a novel technique for surgical repair: case report","volume":"27","author":"Das P","year":"2017","unstructured":"Das P, Goyal T, Hunt MA Intrathoracic meningocele associated with neurofibromatosis type 1 and a novel technique for surgical repair: case report. J Neurosurg Spine. 2017;27(3):291\u2013294."},{"issue":"6","key":"b6","series-title":"AJNR Am J Neuroradiol.","first-page":"1105","article-title":"Anterior cervical meningoceles in neurofibromatosis","volume":"7","author":"Kaiser MC","year":"1986","unstructured":"Kaiser MC, De Slegte RG, Crez\u00e9e FC, Valk J Anterior cervical meningoceles in neurofibromatosis. AJNR Am J Neuroradiol. 1986;7(6):1105."},{"issue":"4","key":"b7","series-title":"J Craniovertebr Junction Spine.","first-page":"440","article-title":"Anterior cervical meningocele with craniovertebral junction instability - a case report and literature review","volume":"12","author":"Kumar A","year":"2021","unstructured":"Kumar A, Mehrotra A, Verma PK, Das KK, Jaiswal AK, Behari S Anterior cervical meningocele with craniovertebral junction instability - a case report and literature review. 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AJNR Am J Neuroradiol. 1986;7(6):1105."},{"issue":"4","key":"b7","series-title":"J Craniovertebr Junction Spine.","first-page":"440","article-title":"Anterior cervical meningocele with craniovertebral junction instability - a case report and literature review","volume":"12","author":"Kumar A","year":"2021","unstructured":"Kumar A, Mehrotra A, Verma PK, Das KK, Jaiswal AK, Behari S Anterior cervical meningocele with craniovertebral junction instability - a case report and literature review. J Craniovertebr Junction Spine. 2021;12(4):440\u2013444."},{"issue":"4","key":"b8","series-title":"Otolaryngol Head Neck Surg.","first-page":"612","article-title":"Multiple cervical anterior meningoceles in a patient with neurofibromatosis type 1 cause dysphagia and dyspnoea","volume":"140","author":"Kos MP","year":"2009","unstructured":"Kos MP, Peerdeman SM, David EF, Mahieu HF Multiple cervical anterior meningoceles in a patient with neurofibromatosis type 1 cause dysphagia and dyspnoea. 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