Surgical management of gorham disease involving the upper cervical spine with occipito-cervical-thoracic fusion: a case report

Abstract Background context Gorham disease is a rare osteolytic condition with only 17 reported cases primarily affecting the cervical spine. Purpose We report the case of a 31-year-old woman with severe kyphotic instability and myelopathy of the upper cervical spine secondary to massive osteolysis...

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Published inThe spine journal Vol. 16; no. 7; pp. e467 - e472
Main Authors Schell, Adam, MD, Rhee, John M., MD, Allen, Abigail, MD, Andras, Lindsay, MD, Zhou, Feifei, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2016
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Abstract Abstract Background context Gorham disease is a rare osteolytic condition with only 17 reported cases primarily affecting the cervical spine. Purpose We report the case of a 31-year-old woman with severe kyphotic instability and myelopathy of the upper cervical spine secondary to massive osteolysis of the posterior elements. The surgical management, clinical outcome, and review of the relevant literature are discussed. Study Design Case report and literature review Patient Sample One patient with Gorham disease of the cervical spine. Methods We report the case of a 31-year-old woman with Gorham disease affecting the upper cervical spine. Combined posterior and anterior stabilization and fusion was performed from the occiput to the thoracic spine. Results Six-year follow-up with annual CT imaging showed solid fusion from occiput to T2. No spread or local recurrence has developed to date. Conclusions Correction of severe instability with myelopathy due to Gorham disease of the upper cervical spine was achieved though posterior and anterior occipito-cervical-thoracic fusion.
AbstractList Gorham disease is a rare osteolytic condition, with only 17 reported cases primarily affecting the cervical spine. We report the case of a 31-year-old woman with severe kyphotic instability and myelopathy of the upper cervical spine secondary to massive osteolysis of the posterior elements. The surgical management, clinical outcome, and review of the relevant literature are discussed. This is a case report and a literature review. This is a report of one patient with Gorham disease of the cervical spine. We report the case of a 31-year-old woman with Gorham disease affecting the upper cervical spine. Combined posterior and anterior stabilization and fusion was performed from the occiput to the thoracic spine. Six-year follow-up with annual computed tomography imaging showed solid fusion from the occiput to T2. No spread or local recurrence has developed to date. Correction of severe instability with myelopathy due to Gorham disease of the upper cervical spine was achieved through posterior and anterior occipito-cervical-thoracic fusion.
BACKGROUND CONTEXTGorham disease is a rare osteolytic condition, with only 17 reported cases primarily affecting the cervical spine.PURPOSEWe report the case of a 31-year-old woman with severe kyphotic instability and myelopathy of the upper cervical spine secondary to massive osteolysis of the posterior elements. The surgical management, clinical outcome, and review of the relevant literature are discussed.STUDY DESIGNThis is a case report and a literature review.PATIENT SAMPLEThis is a report of one patient with Gorham disease of the cervical spine.METHODSWe report the case of a 31-year-old woman with Gorham disease affecting the upper cervical spine. Combined posterior and anterior stabilization and fusion was performed from the occiput to the thoracic spine.RESULTSSix-year follow-up with annual computed tomography imaging showed solid fusion from the occiput to T2. No spread or local recurrence has developed to date.CONCLUSIONSCorrection of severe instability with myelopathy due to Gorham disease of the upper cervical spine was achieved through posterior and anterior occipito-cervical-thoracic fusion.
Abstract Background context Gorham disease is a rare osteolytic condition with only 17 reported cases primarily affecting the cervical spine. Purpose We report the case of a 31-year-old woman with severe kyphotic instability and myelopathy of the upper cervical spine secondary to massive osteolysis of the posterior elements. The surgical management, clinical outcome, and review of the relevant literature are discussed. Study Design Case report and literature review Patient Sample One patient with Gorham disease of the cervical spine. Methods We report the case of a 31-year-old woman with Gorham disease affecting the upper cervical spine. Combined posterior and anterior stabilization and fusion was performed from the occiput to the thoracic spine. Results Six-year follow-up with annual CT imaging showed solid fusion from occiput to T2. No spread or local recurrence has developed to date. Conclusions Correction of severe instability with myelopathy due to Gorham disease of the upper cervical spine was achieved though posterior and anterior occipito-cervical-thoracic fusion.
Author Andras, Lindsay, MD
Schell, Adam, MD
Zhou, Feifei, MD
Allen, Abigail, MD
Rhee, John M., MD
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/26975457$$D View this record in MEDLINE/PubMed
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Keywords gorham disease
occipito-cervicalthoracic fusion
cervical spine
osteolysis
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Snippet Abstract Background context Gorham disease is a rare osteolytic condition with only 17 reported cases primarily affecting the cervical spine. Purpose We report...
Gorham disease is a rare osteolytic condition, with only 17 reported cases primarily affecting the cervical spine. We report the case of a 31-year-old woman...
BACKGROUND CONTEXTGorham disease is a rare osteolytic condition, with only 17 reported cases primarily affecting the cervical spine.PURPOSEWe report the case...
SourceID proquest
crossref
pubmed
elsevier
SourceType Aggregation Database
Index Database
Publisher
StartPage e467
SubjectTerms Adult
Female
Humans
Orthopedics
Osteolysis, Essential - diagnostic imaging
Osteolysis, Essential - surgery
Spinal Fusion - methods
Tomography, X-Ray Computed
Title Surgical management of gorham disease involving the upper cervical spine with occipito-cervical-thoracic fusion: a case report
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1529943016003739
https://dx.doi.org/10.1016/j.spinee.2016.02.020
https://www.ncbi.nlm.nih.gov/pubmed/26975457
https://search.proquest.com/docview/1808606018
Volume 16
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