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Pediatric iatrogenic spinal deformity
Steven W Hwang1, Ron I Riesenburger, Edward C Benzel
1Department of Neurosurgery, Tufts-New England Medical Center, 750 Washington Street, Boston, MA 02111, USA.
Insights
Pediatric iatrogenic spinal deformity, especially in the cervical spine, is reviewed. This summary covers causes, risk factors, and treatments for these acquired spinal conditions in children.
Area of Science:
- Pediatric Orthopedics
- Spinal Surgery
- Radiation Oncology
Background:
- Iatrogenic spinal deformities are acquired conditions resulting from medical interventions.
- These deformities can significantly impact a child's growth and quality of life.
- The cervical spine is particularly vulnerable due to its complex anatomy.
Purpose of the Study:
- To comprehensively review the existing literature on pediatric iatrogenic spinal deformity.
- To focus on the specific challenges and characteristics of cervical spine involvement.
- To synthesize information on incidence, causes, risk factors, and management strategies.
Main Methods:
- Systematic review of published scientific literature.
- Inclusion of studies reporting on pediatric patients with iatrogenic spinal deformity.
- Analysis of data related to etiology, demographics, surgical techniques, and outcomes.
Main Results:
- Iatrogenic spinal deformities arise from radiation therapy and various surgical procedures.
- Key factors influencing development include age, specific treatments, and pre-existing conditions.
- Treatment options range from conservative management to complex surgical reconstructions.
Conclusions:
- Understanding the etiology and risk factors is crucial for prevention and early detection.
- Multidisciplinary approaches are often necessary for effective management of pediatric iatrogenic spinal deformities.
- Further research is needed to optimize treatment strategies and long-term outcomes.
Abstract:
This article reviews current published literature regarding pediatric iatrogenic spinal deformity, with particular emphasis on the cervical spine. The results of published series reporting the incidence, etiology, age, risk factors, surgical techniques, and treatment options are summarized. Iatrogenic deformity resulting from radiation therapy and a variety of surgical procedures are addressed.

