Rare Post Traumatic Kyphoscoliosis of the Thoracolumbar Spine After Posterior Fusion for Adolescent Idiopathic Scoliosis: A Case Report and Review of the Literature. Iowa Orthop J 2019;39(1):77-80
Date
08/16/2019Pubmed ID
31413678Pubmed Central ID
PMC6604541Scopus ID
2-s2.0-85071280149 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Vertebral fracture after posterior arthrodesis and instrumentation for idiopathic scoliosis is a rare occurrence with limited reported cases in the literature.
CASE PRESENTATION: A 16-year-old female patient surgically treated for adolescent idiopathic scoliosis with T2-L1 posterior spinal fusion was in a low-energy fall resulting in fracture of L1 and new kyphosis and scoliosis of the thoracolumbar spine at the distal aspect of the fusion. The fracture was initially managed conservatively, however pain persisted and thus she was indicated for extension of the fusion and correction of the post-traumatic kyphosis.
CONCLUSIONS: Fractures after posterior spinal fusion for idiopathic scoliosis are rare and evidence for the appropriate management remains limited in the literature.Level of Evidence: V.
Author List
Calderaro C, Compton JT, Hanley JM, Labianca L, Yamashita K, Weinstein SLAuthor
Jessica M. Hanley MD Assistant Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Accidental FallsAdolescent
Female
Follow-Up Studies
Humans
Kyphosis
Lumbar Vertebrae
Radiography, Thoracic
Reoperation
Risk Assessment
Scoliosis
Spinal Fractures
Spinal Fusion
Thoracic Vertebrae
Treatment Outcome
