Abstract
Study design:
Two cases of lymphangiomatosis of the spine are presented.
Objectives:
To report two cases of lymphangiomatosis of the spine requiring surgical intervention and to review the literature.
Summary of background information:
Lymphangiomatosis is a rare childhood disease characterized by abnormal lymph tissue at multiple sites. Skeletal and visceral involvement are both common. Prognosis depends on the extent of extraskeletal disease.
Methods:
Two cases of lymphangiomatosis causing neural compression and instability at the cervicothoracic junction are presented. Both patients underwent surgical decompression and stabilization.
Results:
One patient died, whereas the other regained full function and activity.
Conclusions:
Surgery is indicated when lymphangiomatosis causes neural compression and instability of the spine. Surgical outcome is strongly influenced by extraskeletal involvement.
MeSH terms
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Adolescent
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Cervical Vertebrae / diagnostic imaging
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Cervical Vertebrae / pathology
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Cervical Vertebrae / surgery
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Chylothorax / etiology
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Chylothorax / surgery
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Decompression, Surgical
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Disease Progression
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Diskectomy
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Fatal Outcome
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Female
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Humans
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Interferons / therapeutic use
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Kyphosis / diagnosis
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Kyphosis / etiology
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Kyphosis / surgery*
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Lordosis / diagnosis
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Lordosis / etiology
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Lordosis / surgery*
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Lymphangioma / complications*
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Lymphangioma / diagnosis
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Lymphangioma / therapy
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Magnetic Resonance Imaging
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Male
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Neoplasms, Multiple Primary / complications*
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Neoplasms, Multiple Primary / diagnosis
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Neoplasms, Multiple Primary / therapy
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Pericardial Effusion / etiology
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Pericardial Effusion / surgery
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Postoperative Complications
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Reoperation
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Spinal Cord Compression / diagnosis
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Spinal Cord Compression / etiology
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Spinal Cord Compression / surgery*
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Spinal Fusion
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Thoracic Neoplasms / complications*
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Thoracic Neoplasms / diagnosis
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Thoracic Neoplasms / therapy
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Thoracic Vertebrae / diagnostic imaging
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Thoracic Vertebrae / pathology
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Thoracic Vertebrae / surgery
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Tomography, X-Ray Computed