14 year old female with adolescent idiopathic scoliosis. The curve progressed to 65° despite bracing. Dr. Pashman performed a posterior spinal fusion and had complete correction of her curvature.
Adolescent Idiopathic Scoliosis with a 65° curve
14-year-old female Adolescent Idiopathic Scoliosis Lenke 1AN curve
65° Progressive curve
The patient has a right rib hump 2 cm
Indications for Surgery:
Progressive 65-degree Lenke 1A in curve.
Failure of conservative therapy.
Low back pain.
Segmental spinal instrumentation, thoracic 3 to lumbar 1using 5.5 stainless steel pedicle screw rod construct.
Radical facetectomy, multiple level osteotomy T4-T12 with removal of facet and joints bilaterally.
Posterior spinal fusion, thoracic 3 to lumbar 1 using locally harvested autogenous bone, spinous processes, facetectomy and dorsal lamina mixed with allograft bone.
Intraoperative somatosensory-evoked potential (SSEP) and motor-evoked potential interpretation.
Intraoperative fluoroscopy interpretation.
At the time of operation resolution of the thoracic rib hump on derotation was noticed, therefore, a thoracoplasty was avoided
X-rays show almost complete correction of the scoliosis from 65° to 0° with excellent balance. The patient is doing well. Cosmetically, she has had an excellent result.
Adolescent Idiopathic Scoliosis
Adult Idiopathic Surgical Cases performed by Dr. Pashman
Patient journal of scoliosis surgery, Patient follow-up journal four years after surgery
Bracing for Scoliosis
Books about Scoliosis