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Screening for spinal stenosis in achondroplastic patients undergoing limb lengthening.
[achondroplasia]
The
need
for
a
screening
programme
for
spinal
stenosis
in
children
with
achondroplasia
undergoing
limb
lengthening
was
identified
in
a
tertiary
limb
reconstruction
service
.
The
aim
of
this
study
was
to
evaluate
whether
screening
would
identify
the
'
at
risk
'
group
.
A
total
of
26
achondroplastic
patients
underwent
our
screening
programme
.
Canal
diameters
were
measured
by
MRI
.
Neurosurgical
interventions
were
recorded
.
Of
the
patients
,
13
had
severe
foramen
magnum
narrowing
.
Six
patients
required
single
or
multiple
surgical
decompressions
.
We
identified
female
sex
,
delayed
milestones
and
a
tight
cervicomedullary
junction
as
high
risks
.
We
stress
upon
the
importance
of
developing
a
nationalized
screening
programme
with
guidelines
to
identify
a
high
-risk
group
.
Diseases
Validation
Diseases presenting
"high-risk group"
symptom
22q11.2 deletion syndrome
achondroplasia
carcinoma of the gallbladder
cholangiocarcinoma
esophageal adenocarcinoma
hodgkin lymphoma, classical
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