A 43-Year Follow-Up of Unilateral Harrington Rod Instrumentation and Limited Fusion for Adolescent Idiopathic Scoliosis
| Autor: | Jordan Vokes, Emmanuel Menga, Addisu Mesfin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
lumbar obliquity Radiography ultra-long follow up Scoliosis 030204 cardiovascular system & hematology idiopathic scoliosis 03 medical and health sciences 0302 clinical medicine Harrington rod medicine Instrumentation (computer programming) revision spinal fusion scoliosis Cobb angle business.industry harrington rod General Engineering medicine.disease Posterior column Surgery Orthopedics Coronal plane Presentation (obstetrics) business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.14299 |
| Popis: | Limited unilateral instrumentation has been used in the past in the treatment of adolescent idiopathic scoliosis; however, to our knowledge, there are no reported cases with ultra-long follow up regarding this. Our objective is to report on the 43-year follow-up of limited Harrington rod instrumentation for the treatment of a double major adolescent idiopathic scoliosis curve. We describe the patient’s initial presentation, including history, physical exam, radiographic findings and clinical decision-making. Initial coronal cobb angle measurements before surgery were: 14° T1-T5, 42° T5-T12, 44° T12-L4. At 43 years of follow up, there was progression (14°>24°, 42°>70°, 44°>50°) of the patient’s double major scoliosis curve despite unilateral, limited Harrington rod instrumentation from L4-S1. The patient was treated with a T3-pelvis instrumentation and fusion and posterior column osteotomies. To our knowledge, this is the longest follow-up and subsequent revision of a patient undergoing limited, unilateral Harrington rod instrumented fusion for the treatment of a double major adolescent idiopathic scoliosis curve. |
| Databáze: | OpenAIRE |
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