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Recurrent scoliosis one year after surgical correction.

van Luijk PJ, de Nies F - Eur Spine J (2010)

Bottom Line: A year after anterolateral spondylodesis for progressive scoliosis, the patient showed a flexion gait pattern with recurrent deformity, due to late infection.Surgical debridement resolved all symptoms.In this case the patient did not present with the classic symptoms.

View Article: PubMed Central - PubMed

Affiliation: Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands. petervanluijk@gmail.com

ABSTRACT
A year after anterolateral spondylodesis for progressive scoliosis, the patient showed a flexion gait pattern with recurrent deformity, due to late infection. Surgical debridement resolved all symptoms. Whereas most postoperative infections occur after posterior spondylodesis and present with back pain and mild increase of infection parameters, late infection after anterolateral approach is rare. In this case the patient did not present with the classic symptoms.

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The corrected spinal column
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Fig1: The corrected spinal column

Mentions: A 13-year-old girl attended our hospital with mild low back pain and a left-sided primarily lumbar scoliosis of 28° Cobb angle. Brace treatment was started, but unfortunately the curves progressed in time. At the age of 15 the Cobb angle was over 50°. An anterolateral correction and fusion from Th12 to L3 was performed by left lumbotomy, using Monarch (Depuy Spine) instrumentation and iliac crest bone graft (Fig. 1). After a quick and uncomplicated recovery and a correction up to less than 20° she was discharged from the hospital in 5 days.Fig. 1


Recurrent scoliosis one year after surgical correction.

van Luijk PJ, de Nies F - Eur Spine J (2010)

The corrected spinal column
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3111493&req=5

Fig1: The corrected spinal column
Mentions: A 13-year-old girl attended our hospital with mild low back pain and a left-sided primarily lumbar scoliosis of 28° Cobb angle. Brace treatment was started, but unfortunately the curves progressed in time. At the age of 15 the Cobb angle was over 50°. An anterolateral correction and fusion from Th12 to L3 was performed by left lumbotomy, using Monarch (Depuy Spine) instrumentation and iliac crest bone graft (Fig. 1). After a quick and uncomplicated recovery and a correction up to less than 20° she was discharged from the hospital in 5 days.Fig. 1

Bottom Line: A year after anterolateral spondylodesis for progressive scoliosis, the patient showed a flexion gait pattern with recurrent deformity, due to late infection.Surgical debridement resolved all symptoms.In this case the patient did not present with the classic symptoms.

View Article: PubMed Central - PubMed

Affiliation: Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands. petervanluijk@gmail.com

ABSTRACT
A year after anterolateral spondylodesis for progressive scoliosis, the patient showed a flexion gait pattern with recurrent deformity, due to late infection. Surgical debridement resolved all symptoms. Whereas most postoperative infections occur after posterior spondylodesis and present with back pain and mild increase of infection parameters, late infection after anterolateral approach is rare. In this case the patient did not present with the classic symptoms.

Show MeSH
Related in: MedlinePlus