Scheuermann's Dorsal Kyphosis and Spinal Cord Compression: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 18 (5) ◽  
pp. 628-631 ◽  
Author(s):  
David M. Klein ◽  
Richard L. Weiss ◽  
James E. Allen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Neurological Complications ◽  
Cord Compression ◽  
Posterior Fixation ◽  
Childhood And Adolescence ◽  
Disc Protrusion ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Thoracic Disc

Abstract Although Scheuermann's disease (juvenile dorsal kyphosis) is a common problem of late childhood and adolescence, its potential for neurological complications is not widely appreciated. In rare instances, spinal cord compression appears to be produced by the kyphotic protrusion alone, and we present an example of this unusual problem. Although the results of surgical treatment in this situation cannot be substantiated, anterior spondylotomy and decompression followed by posterior fixation appear to offer the best mechanical relief. Spinal cord compression can also be produced by extradural cysts, with which Scheuermann's disease is frequently associated. Scheuermann's disease also is reported to occur in combination with thoracic disc protrusion, but the coincidence here may be random. Pertinent literature is reviewed.

scholarly journals Acute thoracic disc heralded by change in spinal cord stimulation pattern: illustrative case

2021 ◽  
Vol 2 (20) ◽  
Author(s):  
Faraz Behzadi ◽  
Edvin Telemi ◽  
Tarek R. Mansour ◽  
Thomas M. Zervos ◽  
Muwaffak M. Abdulhak ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Back Pain ◽  
Cord Compression ◽  
Illustrative Case ◽  
Disc Protrusion ◽  
Stimulation Parameters ◽  
Spine Pathology ◽  
Thoracic Disc

BACKGROUND Spinal cord stimulation (SCS) uses unique electric stimulation parameters to selectively treat specific regions of chronic or refractory back pain. Changing these parameters can lead to spreading paresthesia and/or pain beyond the desired region. OBSERVATIONS A patient with a history of stable, successful SCS treatment presented with acute development of paresthesias that were relieved by reduction of stimulation parameters. The patient required paradoxically lower SCS settings for control of chronic back pain. This presentation prompted further investigation, which revealed a new disc protrusion and cord compression at the level of the paddle lead. LESSONS In patients with SCS, a new onset of back pain accompanied by acute paresthesia that is reversible by reducing the SCS amplitude warrants investigation for new spine pathology.

Caudal cervical arthrodesis using a distractable fusion cage in a dog

2010 ◽  
Vol 23 (03) ◽  
pp. 209-213 ◽  
Author(s):  
F. Bernard ◽  
J.-F. Bardet ◽  
Adrega da Silva
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Neurological Deficits ◽  
Cervical Fusion ◽  
Disc Protrusion ◽  
Dynamic Component ◽  
Long Term Outcome ◽  
Fusion Cage

SummaryThis case report describes a cervical fusion cage, surgical technique and the long-term outcome of caudal cervical arthrodesis used to stabilise dynamic spinal cord compression at the sixth and seventh cervical intervertebral disc space (C6, C7) in a dog. A seven-year-old, 41 kg, entire male Dobermann Pinscher was admitted for progressive ataxia of two weeks duration. Neurological examination revealed ambulatory tetraparesis. Computed tomographic myelogram scans in neutral and traction positions of the neck were performed and were used to determine presence of a dynamic component. A C6-C7 surgical distraction and stabilisation using a distractable intervertebral fusion cage was performed. There was not any deterioration of neurological status was observed on postoperative neurological evaluation. Within eight weeks after surgery, gait and postural abilities had returned to normal. Computed tomography evaluation indicated a complete bridging callus within and outside the cage at 15 weeks after surgery. There were not any complications or recurrences of initial neurological deficits observed during the 40 month follow-up period. Based on the follow-up period data, a C6-C7 dynamic spinal cord compression with disc protrusion was successfully treated by a distractable cervical fusion cage.

Malignant Carcinoid Causing Spinal Cord Compression

Neurosurgery ◽  
1985 ◽  
Vol 17 (5) ◽  
pp. 801-806 ◽  
Author(s):  
Gerald T. Gowitt ◽  
Suzanne S. Mirra
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Neurological Complications ◽  
Cord Compression ◽  
Electron Microscopic ◽  
Thoracic Epidural ◽  
Malignant Carcinoid ◽  
Microscopic Demonstration ◽  
Plasma Serotonin ◽  
Electron Microscopic Demonstration

Abstract Neurological complications of malignant carcinoid are infrequent, Only 11 cases of central nervous system metastasis are documented, and neurological symptoms may be the initial or only manifestation of this tumor. We describe the case of a 60-year-old man with no known primary tumor who presented with spinal cord compression by a thoracic epidural tumor. After laminectomy, the diagnosis of carcinoid was made by light and electron microscopic demonstration of neurosecretory granules in tumor cells. Urine 5-hydroxyindole acetic acid and plasma serotonin levels were subsequently found to be elevated. Carcinoid tumors should be considered in the differential diagnosis of lesions metastatic to the spinal cord and brain.

Spinal Cord Involvement in Heritable Skeletal Dysplasias

1974 ◽  
Vol 23 (S1) ◽  
pp. 181-186
Author(s):  
A.B. Todorov ◽  
S.E. Kopits ◽  
G.B. Udvarhelyi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
Neurological Complications ◽  
Cord Compression ◽  
Neurologic Symptoms ◽  
Skeletal Dysplasias ◽  
Neurological Condition ◽  
Spinal Cord Involvement ◽  
Canal Syndrome

The neurological complications encountered in selected heritable skeletal dysplasias are described. The neurologic deficit may be caused by static (localized spinal cord compression; small spinal canal syndrome) or dynamic (atlantoaxial dislocation) involvement of the spinal cord. The neurologic symptoms have to be recognized early, as neurosurgical management is possible and may definitely improve the neurological condition.

scholarly journals Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report

2009 ◽  
Vol 8 (2) ◽  
pp. 206-211 ◽  
Author(s):  
Paul M. Arnold ◽  
Michael C. Park ◽  
Kathy Newell ◽  
John J. Kepes ◽  
J. Brantley Thrasher
Keyword(s):  
Spinal Cord ◽  
Synovial Sarcoma ◽  
Spinal Cord Compression ◽  
Soft Tissues ◽  
Cord Compression ◽  
Posterior Fixation ◽  
Soft Tissue Neoplasm ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
History Of

Synovial sarcoma is an uncommon malignant soft tissue neoplasm, occurring primarily in adolescents and young adults. It is prevalent in the periarticular soft tissues near large joints of the extremities and rarely involves the trunk. Metastases are not uncommon and usually involve the lungs; metastasis to the thoracic spine is rare. We report the case of a 47-year-old man with a history of synovial sarcoma of the lower back, with subsequent metastases to the lung, penis, and perineum (all previously resected), presenting with a 3-month history of low back pain and lower extremity paresthesias. Magnetic resonance imaging (MRI) demonstrated multiple lesions involving multiple contiguous vertebral bodies, with the mass at T12 compressing the spinal cord. The patient underwent T11-T12 laminectomy, transpedicular decompression, tumor debulking, and posterior fixation and fusion. The patient died six months later due to disease progression. Although not curative, decompression and stabilization of the spine are often necessary in patients who present spinal cord compression.

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