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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2000 December;51(6):355-8
Cervical spine deformity in neurofibromatosis (von Recklinghausen's disease): a case report
Galetto F., Megaterio S., Franceschini D.
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Neurofibromatosis, or von Recklinghausen's disease, is a genetic disease, transmitted in an autosomal dominant way. This pathology often involves the musculo-skeletal system (dysplasia of the lesser wing of the sphenoid bone, long bone non-union, scoliosis, vertebral deformity, genu varum, genu valgum, bone cyst), but the cervical deformity is rare. A case of cervical kyphosis in von Recklinghausen's disease is described. The patient, a 20 year old woman, has been submitted to surgery for arthrodesis with a double approach, anterior and posterior. Personal opinion, the double approach is important. In fact the posterior approach alone is not enough because it's not possible to use an instrument owing to bad bone quality. On the basis of the clinical observation, the authors, in accordance with the literature, suggest clinical and surgical management.