Alternative technique in atypical spinal decompression: the use of the ultrasonic scalpel in paediatric achondroplasia

BMJ Case Rep. 2016 Jun 10:2016:bcr2016214565. doi: 10.1136/bcr-2016-214565.

Abstract

Spinal stenosis can be a very disabling condition. Surgical decompression carries a risk of dural tear and neural injury, which is increased in patients with severe stenosis or an atypical anatomy. We present an unusual case of symptomatic stenosis secondary to achondroplasia presenting in a paediatric patient, and highlight a new surgical technique used to minimise the risk of dural and neural injury during decompression.

Publication types

  • Case Reports

MeSH terms

  • Achondroplasia / complications*
  • Adolescent
  • Decompression, Surgical / instrumentation*
  • Decompression, Surgical / methods
  • Humans
  • Lumbar Vertebrae / surgery
  • Spinal Stenosis / surgery*
  • Treatment Outcome
  • Ultrasonics / instrumentation