Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity

Originally recognized by German pathologist Frederick von Recklinghausen in 1882, neurofibromatosis type I (NF1) is an autosomal dominant disease generated from pathogenic mutation in the NF gene on chromosome 17q11.2 that affects approximately 1 in 3,000. The incidence of cervical spine abnormality...

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Main Authors: CPT Michael W Patt, CPT Kyle S Ardavanis, LTC Daniel G Kang, MAJ Daniel J Coughlin
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751923000439
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author CPT Michael W Patt
CPT Kyle S Ardavanis
LTC Daniel G Kang
MAJ Daniel J Coughlin
author_facet CPT Michael W Patt
CPT Kyle S Ardavanis
LTC Daniel G Kang
MAJ Daniel J Coughlin
author_sort CPT Michael W Patt
collection DOAJ
description Originally recognized by German pathologist Frederick von Recklinghausen in 1882, neurofibromatosis type I (NF1) is an autosomal dominant disease generated from pathogenic mutation in the NF gene on chromosome 17q11.2 that affects approximately 1 in 3,000. The incidence of cervical spine abnormality in patients with NF1 is not well defined as frequently patients are asymptomatic. Severe cervical spine deformity in NF1 is currently only reported on the case series and case report level. Included in these series are cases of cervical swan neck deformity (CSND). Since their introduction in the early 2000 s, expandable corpectomy implant technology has demonstrated their efficacy in reconstruction of the cervical spine and has been used to treat trauma, metastases, myelopathy, and cervical deformity. We describe a novel technique for use in reduction and reconstruction in NF1 associated CSND including caspar pin distraction, cervical traction and serial expansion of an expandable corpectomy trial.
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spelling doaj.art-7548809f3eee4673b952d48e0d5476902023-06-15T04:56:13ZengElsevierInterdisciplinary Neurosurgery2214-75192023-09-0133101760Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformityCPT Michael W Patt0CPT Kyle S Ardavanis1LTC Daniel G Kang2MAJ Daniel J Coughlin3Corresponding author at: Address: 2628 Erwin Ave, Dupont, WA 98327, United States.; Madigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis McChord, Tacoma, WA 98431, United StatesMadigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis McChord, Tacoma, WA 98431, United StatesMadigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis McChord, Tacoma, WA 98431, United StatesMadigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis McChord, Tacoma, WA 98431, United StatesOriginally recognized by German pathologist Frederick von Recklinghausen in 1882, neurofibromatosis type I (NF1) is an autosomal dominant disease generated from pathogenic mutation in the NF gene on chromosome 17q11.2 that affects approximately 1 in 3,000. The incidence of cervical spine abnormality in patients with NF1 is not well defined as frequently patients are asymptomatic. Severe cervical spine deformity in NF1 is currently only reported on the case series and case report level. Included in these series are cases of cervical swan neck deformity (CSND). Since their introduction in the early 2000 s, expandable corpectomy implant technology has demonstrated their efficacy in reconstruction of the cervical spine and has been used to treat trauma, metastases, myelopathy, and cervical deformity. We describe a novel technique for use in reduction and reconstruction in NF1 associated CSND including caspar pin distraction, cervical traction and serial expansion of an expandable corpectomy trial.http://www.sciencedirect.com/science/article/pii/S2214751923000439Neurofibromatosis type 1Cervical swan neck deformityCervical kyphosisMyelopathyExpandable corpectomy cage
spellingShingle CPT Michael W Patt
CPT Kyle S Ardavanis
LTC Daniel G Kang
MAJ Daniel J Coughlin
Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
Interdisciplinary Neurosurgery
Neurofibromatosis type 1
Cervical swan neck deformity
Cervical kyphosis
Myelopathy
Expandable corpectomy cage
title Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
title_full Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
title_fullStr Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
title_full_unstemmed Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
title_short Use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
title_sort use of expandable corpectomy trial and cage for reduction of neurofibromatosis associated cervical swan neck deformity
topic Neurofibromatosis type 1
Cervical swan neck deformity
Cervical kyphosis
Myelopathy
Expandable corpectomy cage
url http://www.sciencedirect.com/science/article/pii/S2214751923000439
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