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  • Title: Translaminar screw fixation of a kyphosis of the cervical and thoracic spine in neurofibromatosis.
    Author: Gardner A, Millner P, Liddington M, Towns G.
    Journal: J Bone Joint Surg Br; 2009 Sep; 91(9):1252-5. PubMed ID: 19721057.
    Abstract:
    The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using translaminar screws, which allow segmental fixation in vertebral bodies where placement of the pedicle screws was impracticable.
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