Correction of a Dystrophic Cervicothoracic Spine Deformity in Recklinghausen's Disease.Nijland, E. A. MD*; van den Berg, M. P. MD*; Wuisman, P.I.J.M. MD, PhD*; van Royen, B. J. MD*; Winters, H.A.H. MD**; van Ouwerkerk, W.J.R. MD†Author Information From the Departments of *Orthopaedic Surgery, **Plastic and Reconstructive Surgery, and †Neurosurgery, University Hospital Vrije Universiteit, Amsterdam, The Netherlands. Reprint requests to P.I.J.M. Wuisman, MD, PhD, Department of Orthopaedic Surgery, University Hospital Vrije Universiteit, PO Box 7057, 1007 MB Amsterdam, The Netherlands. Received: June 4, 1997. Revised: September 18, 1997. Accepted: October 2, 1997. Clinical Orthopaedics and Related Research (1976-2007): April 1998 - Volume 349 - Issue - pp 149-155 Buy Abstract A case is presented of a 14-year-old boy with neurofibromatosis who had a 92° dystrophic kyphosis (as measured on radiographs between C3 and C7) of the cervical spine. He was treated successfully by posterior stabilization and anterior fusion using a free vascularized fibula graft. This method appears to be an attractive alternative to an avascular fibula graft and avoids the risk of graft resorption (creeping substitution), weakening(fracture), or nonunion during the process of bony consolidation. It provides a stable and longstanding anterior strut, essential in the management of high grades of kyphosis. At 1-year followup the patient has no symptoms, is fully mobile, and shows radiographically complete incorporation of the graft with no loss of correction. © Lippincott-Raven Publishers.