Pediatric cervical spine instability treatment [Neurosurgery Wiki]

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====== Pediatric cervical spine instability treatment ======


A study described new perioperative neurological deficits in [[pediatric cervical spine]] [[instrumentation]] and [[fusion]].An improvement of the preexisting [[neurological deficit]] or stabilization of neurological function was seen in 96.7% of [[child]]ren after cervical [[spine fusion]]. New or progressive neurological deficits occurred in 3.3% of the patients and occurred more frequently in children with preoperative neurological symptoms. Patients with syndromic diagnoses are at higher risk to develop a deficit, probably due to the severity of deformity and the degree of [[cervical spine instability]]. Long-term outcomes of new neurological deficits are favorable, and 50% of patients experienced complete neurological recovery within 6 months
((Verhofste BP, Glotzbecker MP, Hresko MT, Miller PE, Birch CM, Troy MJ, Karlin 
LI, Emans JB, Proctor MR, Hedequist DJ. Perioperative acute neurological deficits
in instrumented [[pediatric cervical spine]] fusions. J Neurosurg Pediatr. 2019 Aug
16:1-11. doi: 10.3171/2019.5.PEDS19200. [Epub ahead of print] PubMed PMID:
31419801.
)).