A 14 year old girl presented with 38 degree Adolescent Idiopathic Scoliosis. The curve progressed within a few months, and she required scoliosis surgery. Dr. Pashman performed a posterior spinal fusion.
Progressive Adolescent Idiopathic Scoliosis treated with a Posterior Spinal Fusion from T3 to L1
14-year-old post menarchal female
Adolescent Idiopathic Scoliosis.
X-rays taken from August 2006/ May 2007 show thoracic curve had progressed from 38 to 47 degrees.
She has a 2.5 cm right rib hump, with significant right truncal shift. She has minimal left flank fullness which is noted, which is easily correctable on left side bending. She is well-balanced in a frontal and sagittal plane. She has slightly hyper reflexic lower extremities, but no evidence of neurologic deficits.
Intermittent bouts of the neck, upper back, and low back pain.
36 x 14 x-rays show that she has a 51° right thoracic and a 32° left lumbar curve, which is classified as 1BN curve. She has a slightly high accentuated thoracic kyphosis at this point.
Indications for Surgery:
Progressive adolescent idiopathic scoliosis, type 1B, 51° curve.
Failed conservative therapy.
Upper and lower back pain.
1. Posterior instrumented fusion, thoracic 3 to lumbar 1 using pedicle screw rod construct, stainless steel
2. Posterior spinal fusion, thoracic 3 to lumbar 1 using combination of locally harvested autogenous bone and morselized allograft
3. Concave osteotomy, thoracic 6 to thoracic 11 for semi- ankylosed concave facet joints
4. Intraoperative SSEPs
5. Intraoperative fluoroscopy management
6. Interoperative Pictures
The patient is well balanced in both the sagittal and coronal plane.
The patient is happy with the cosmetic outcome of her surgery. Her shoulders are even, and the rib hump was reduced.
The patient is perfectly aligned, and very happy with her outcome. She resumed her normal sporting activities when the fusion healed.
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