Midline spinous process splitting laminoplasty in a newborn with thoracolumbar epidural hematoma: a bone-sparing procedure based on anatomy and embryology.
Détails
ID Serval
serval:BIB_EE16B818389E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Midline spinous process splitting laminoplasty in a newborn with thoracolumbar epidural hematoma: a bone-sparing procedure based on anatomy and embryology.
Périodique
Child's nervous system
ISSN
1433-0350 (Electronic)
ISSN-L
0256-7040
Statut éditorial
Publié
Date de publication
12/2020
Peer-reviewed
Oui
Volume
36
Numéro
12
Pages
3103-3108
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Spinal epidural hematoma (SEH) is a rare condition leading to spinal cord compression after trauma, surgery, or other. In 40% of the cases, the cause is unknown or unidentified. Due to the absence of specific symptoms, the diagnosis is often delayed. The mainstay of treatment is urgent evacuation of the hematoma. The choice of the surgical technique is surgeon-dependent and ranges from simple decompression and hematoma evacuation to variable combinations of decompression and reconstruction of the posterior spinal arch. To our knowledge, we describe the youngest case in the literature of a thoracolumbar SEH in a newborn with hemophilia A which was evacuated by spinous process splitting laminoplasty (SPSL). SPSL was chosen to avoid damaging the primary ossification centers, preserve the paravertebral musculature, and evade the sequelae of multilevel laminectomies. In our opinion, this technique should be propagated in the pediatric population for accessing the posterior and posterolateral spinal canal.
Mots-clé
Child, Decompression, Surgical, Hematoma, Epidural, Cranial, Hematoma, Epidural, Spinal/diagnostic imaging, Hematoma, Epidural, Spinal/etiology, Hematoma, Epidural, Spinal/surgery, Humans, Infant, Newborn, Laminectomy, Laminoplasty, Epidural, Hematoma, Pediatrics, Spinal
Pubmed
Web of science
Création de la notice
25/04/2020 19:47
Dernière modification de la notice
30/06/2021 5:34