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PARAPLEGIA RESULTING FROM SEVERE KYPHOSCOLIOSIS

Paul C. Buey, M.D.; Husameddin Gokay, M.D.
JAMA. 1955;157(14):1210-1212. doi:10.1001/jama.1955.02950310036008a.
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Kyphoscoliosis is a common deformity of the spine, and, although it may be associated with other conditions that involve the spinal cord, such as tuberculous granuloma or a tumor, the deformity of the spine itself is seldom the cause of the neurological disturbance. On occasion, however, the kyphoscoliosis and the distortion of the dura mater accompanying it may so compress the spinal cord as to produce a paralysis below the level of the compression. This may happen years after the kyphoscoliosis first appeared. It is important that the possibility of such a disorder be recognized and that the condition is generally correctible with proper surgical treatment. The importance of the proper management of the condition was first emphasized by McKenzie in 1927 when he reported a case treated with laminectomy and incision of the dura mater. He stated that he had been encouraged by the good results obtained by Sachs

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