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  • Title: Cotrel-Dubousset instrumentation in neurofibromatosis spine curves. A preliminary report.
    Author: Holt RT, Johnson JR.
    Journal: Clin Orthop Relat Res; 1989 Aug; (245):19-23. PubMed ID: 2502342.
    Abstract:
    Five patients with neurofibromatosis-induced scoliosis and dystrophic vertebral bodies were treated surgically with Cotrel-Dubousset instrumentations. The surgical approaches included posterior only, anterior and posterior, and multistage procedures. Three of the five patients showed a progression of their scoliosis despite the instrumentation and fusions. One had a significant progression that may require additional surgery. Scoliosis associated with neurofibromatosis dystrophic vertebral bodies causes a curve progression that should be treated aggressively with anterior and posterior fusions. Careful follow-up observation is mandatory in neurofibromatosis patients because of the tendency for extraordinary progression with growth.
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