The phenomenon of vertebral body drift in neurofibromatosis and its implications for surgical safety.
Dr Shanmuganathan RajasekaranPushpa Bhari ThippesamyKaruppanan Sukumaran Sri Vijay AnandAjoy Prasad ShettyRishi Mugesh KannaCharanjit Singh DhillonPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2022)
The 'body drift' phenomenon was unique to neurofibromatosis scoliosis and was secondary to severe pedicle morphology changes. This was present even in curves less than 60° and could result in cord injury while instrumenting the concave pedicle. Therefore, a thorough preoperative assessment and planning by a 3D CT are mandatory.