ABSTRACT

This study was a retrospective clinical research based on challenging cases with clinical and radiological data analysis, and the review of literature. The aim of this study was to determine the factors affecting spinal deformity treatment in patients with diseases of the central nervous system following neurosurgical management.

Three sample cases presented and the relevant literature were interpreted by the lights of these analyses. Patients are consisted of 20 and 44 years old females and 9 years old boy with childhood neural diseases. These accompanying diseases were detected during evaluation for spinal surgery by neurologic examination and imaging modalities.

All patients have been doing neurologically well with almost no deficits and manageable pain problems. A 44-year-old women who had CSF diversion operation previously, was resolved her arachnoiditis by extending the cervical stenosis operation. Neurofibromas that complicated kyphosis operation of a 9-year-old boy were removed. And tethered cord of a 20-year-old girl was untethered during scoliosis operation. All patient’s neurological status is well after operations and follow-ups.

Surgical treatment of patients with spinal diseases may become a quite challenging case when they have congenital anomalies or CNS related problems. Staging surgical approach should be kept in mind for these kinds of patients. Besides, growing of spine and spinal cord at different rates shouldn’t be forgotten for children. The whole spinal axis must be kept under lifetime control by some regular intervals for spine patients with additional congenital or CNS anomalies.