The natural history of congenital kyphosis in myelomeningocele: A review of 51 children

Leslie J. Mintz, John F. Sarwark*, Luciano S. Dias, Michael F. Schafer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

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 languageEnglish (US)
Pages (from-to)348-350
Number of pages3
JournalSpine
Volume16
Issue number8
StatePublished - Aug 1991

Keywords

  • Congenital kyphosis
  • Curve progression
  • Myelomeningocele
  • Shunt revisions

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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