Dysfunction of a Ventriculoperitoneal Shunt After Posterior Spinal Fusion in Children with Cerebral Palsy
by Kareem Abu-Sneineh, Glenn E. Lipton, Peter G. Gabos, and Freeman Miller
J Bone Joint Surg AmVolume 85(6):1119-1124
June 1, 2003
©2003 by The Journal of Bone and Joint Surgery, Inc.
Figs. 1-A through 1-F Case 1.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Fig. 1-B Anteroposterior radiograph of the spine made immediately after posterior spinal fusion with unit rod instrumentation and sublaminar wiring.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Fig. 1-C Routine radiograph of the chest made two days after surgery reveals a fracture of the ventriculoperitoneal shunt tubing in the cervical region (arrow).
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Fig. 1-D A computed tomographic scan of the head on the third postoperative day did not reveal appreciable ventricular dilation; however, no baseline scan was available for comparison.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Fig. 1-E A repeat computed tomographic scan of the head made approximately four weeks after the surgery shows dilated ventricles.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
A follow-up computed tomographic scan of the head made two weeks after shunt revision demonstrates resolution of the hydrocephalus.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Figs. 2-A through 2-D Case 2.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Close-up view of the spinal radiograph shown in Figure 2-A demonstrates the shunt fracture in the cervical region (arrow).
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.
Anteroposterior radiograph of the spine made immediately after posterior spinal fusion with unit rod instrumentation and sublaminar wiring.
Kareem Abu-Sneineh et al. J Bone Joint Surg Am 2003;85:1119-1124
©2003 by The Journal of Bone and Joint Surgery, Inc.