PMC4352625_01
Initial preoperative sagittal T2 MRI scans showing the pathology for which the laminectomy was done
AJNS-10-32-g001.jpg
PMC4352625_01_AJNS-10-32-g001.jpg
F1
A 14-year-old child presented 10 months after a C3-C4 laminectomy for an intramedullary cyst (Neurenteric cyst) [Figure 1] with complaints of increasing tetraparesis and neck flexion deformity.
Sagittal T2 MRI done before the correction surgery. Post laminectomy, severe kyphosis can be seen with the spinal cord compressed and draped over the kyphotic vertebral bodies
AJNS-10-32-g002.jpg
PMC4352625_01_AJNS-10-32-g002.jpg
F2
Imaging revealed severe cervical kyphosis with anterior cord compression and a focal syrinx [Figure 2]. The measured Cobbs angle (C3-C5) was 92  [Figures 2 and 3].
Preoperative computed tomography scan (bone window). The severe anterior wedging of C4 and C5 with a 92 degree kyphotic angulation is seen
AJNS-10-32-g003.jpg
PMC4352625_01_AJNS-10-32-g003.jpg
F3
The measured Cobbs angle (C3-C5) was 92  [Figures 2 and 3].
Postoperative CT scan (bone window). Correction of the angulation with implant in situ
AJNS-10-32-g004.jpg
PMC4352625_01_AJNS-10-32-g004.jpg
F4
Postoperative radiology revealed that the kyphosis had been completely corrected (Cobbs angle 2 ) [Figure 4].