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Lumbopelvic stabilization with external fixator in a patient with lumbosacral agenesis

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dc.contributor.author El Hayek, Toni
dc.contributor.author Griffet, Jacques
dc.contributor.author Leroux, Julien
dc.date.accessioned 2016-09-22T09:19:52Z
dc.date.available 2016-09-22T09:19:52Z
dc.date.copyright 2011 en_US
dc.identifier.issn 0940-6719 en_US
dc.identifier.uri http://hdl.handle.net/10725/4348
dc.description.abstract A case of caudal regression syndrome in which rehabilitation was obtained by lumbopelvic distraction and stabilization with external fixation Orthofix® is presented. The objective of the study is to describe the benefit of spine external fixator in caudal regression syndrome. Caudal regression syndrome is a rare and sporadic neural defect of distal spinal segments affecting the development of the spinal cord. It is characterized by vertebropelvic instability and essentially manifests as neurological deficit in the lower limbs and absence of bladder and bowel control. Pluridisciplinary management of this affection is complex. The clinical presentation and treatment of caudal regression syndromes are reviewed. A case of a boy for whom physical rehabilitation was obtained with external fixation Orthofix® is presented. Lumbopelvic stabilization was performed with autograft and allograft bone. A spine distraction was performed with external fixation with pedicular screws in L1 and L2 and in the pelvis bone. An elongation of 19 mm was obtained in 35 days. The external fixator was removed after 4 months and a spine cast was applied during 8 months. This treatment resulted in lumbopelvic nonunion of very low mobility. Lumbopelvic stability and the disappearance of pain were achieved. Sitting position was stable without hand support. At 14 years of follow-up, his condition is stable with possible deambulation at home with crutches. Lumbopelvic arthrodesis in caudal regression syndrome is difficult to obtain. The use of spine external fixator, however, allows trunk elongation and can achieve a stable sitting and upright position. en_US
dc.language.iso en en_US
dc.title Lumbopelvic stabilization with external fixator in a patient with lumbosacral agenesis en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201205678 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal European Spine Journal en_US
dc.journal.volume 20, Suppl. 2 en_US
dc.article.pages 161-165 en_US
dc.keywords Lumbosacral agenesia en_US
dc.keywords Caudal regression en_US
dc.keywords Lumbopelvic arthrodesis en_US
dc.keywords External fixator en_US
dc.identifier.doi http://dx.doi.org/10.1007/s00586-010-1458-y en_US
dc.identifier.ctation Griffet, J., Leroux, J., & El Hayek, T. (2011). Lumbopelvic stabilization with external fixator in a patient with lumbosacral agenesis. European Spine Journal, 20(2), 161-165. en_US
dc.author.email toni.hayek@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://link.springer.com/article/10.1007/s00586-010-1458-y en_US


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