Surgical outcome after treatment of thoracolumbar spinal stenosis in adults with achondroplasia.
Eur Spine J
; 33(4): 1385-1390, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38438586
ABSTRACT
PURPOSE:
To describe the complications and the outcome of patients with achondroplasia undergoing thoracolumbar spinal surgery.METHODS:
Retrospective analysis of prospectively collected data of all patients with achondroplasia undergoing surgery within the years 1992-2021 at the thoracic and/or lumbar spine. The outcome was measured by analyzing the surgical complications and revisions. The patient-rated outcome was assessed with the COMI score from 2005 onwards.RESULTS:
A total of 15 patients were included in this study undergoing a total of 31 surgeries at 79 thoracolumbar levels. 12/31 surgeries had intraoperative complications consisting of 11 dural tears and one excessive intraoperative bleeding. 4/18 revision surgeries were conducted due to post-decompression hyperkyphosis. The COMI score decreased from 7.5 IQR 1.4 (range 7.1-9.8) preoperatively to 5.3 IQR 4.1 (2.5-7.5) after 2 years (p = 0.046).CONCLUSION:
Patients with achondroplasia, the most common skeletal dysplasia condition with short-limb dwarfism, are burdened with a congenitally narrow spinal canal and are commonly in need of spinal surgery. However, surgery in these patients is often associated with complications, namely dural tears and post-decompression kyphosis. Despite these complications, patients benefit from surgical treatment at a follow-up of 2 years after surgery.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Spinal Stenosis
/
Achondroplasia
/
Musculoskeletal Diseases
/
Kyphosis
Limits:
Adult
/
Humans
Language:
En
Year:
2024
Type:
Article