Abstract
The progression of congenital lumbar kyphosis in myelomeningocele is a well-known problem, but rates of progression are not well documented in the literature. Fifty-one children with congenital kyphosis and myelomeningocele were followed for an average of 4.8 years. Minimum follow-up was 1 year. Group I (35 patients) had initial radiographs at 1 year of age or less. Group II (16 patients) had radiographs taken after the age of 1 year. Curves ==90° in Group I progressed 7.7°/yr; those >90° progressed 12.1°/yr. Curves =s90° and >90° in Group II progressed at similar rates, regardless of initial curve magnitude: 6.4°/yr and 6.7°/yr, respectively. No correlation existed among the rate of curve progression, the frequency of shunt revisions, or the presence of vertebral anomalies, aside from the dysraphism.
Original language | English (US) |
---|---|
Pages (from-to) | 348-350 |
Number of pages | 3 |
Journal | Spine |
Volume | 16 |
Issue number | 8 |
State | Published - Aug 1991 |
Keywords
- Congenital kyphosis
- Curve progression
- Myelomeningocele
- Shunt revisions
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Clinical Neurology