Scoliosis-Adolescent Idiopathic Scoliosis
Case #1: 11 Year Old Female Unresponsive to Bracing
This is an eleven year old female that has been managed with bracing for the past two years with her scoliosis. Even with bracing, her scoliosis has progressively worsened. She started having difficulty keeping up with her friends because she would get short of breath. The family finally decided to agree to surgical stabilization of her scoliosis. After surgery, she is doing very well now and has resumed her normal childhood activities.
*Warning: Graphic images below
You can easily see that she has a significant rib hump and her right shoulder is higher than her left shoulder.This is a classic sign of scoliosis, so radiographs were obtained.
X-Rays revealed that she had a stiff thoracic scoliosis that measured 55 degrees.
She underwent successful surgery. Above you can see some of the tools that are used during the surgery to de-rotate the spine for scoliosis.
This is a picture during her surgery that shows realignment of her spine with placement of two rods and the screws to hold the rod in position. After the rods are place, we perform some techniques to stimulate a fusion to develop.
These are the before and after radiographs for this patient's scoliosis surgery. She is doing very well now and has resumed her normal childhood activities.
Case #2: 14 Year Old with Progressive Scoliosis
This is a 14 year old female with progressive scoliosis. She has been treated in a brace, however, she continued to progress her curve. This child failed bracing and conservative management.
Over the course of 14 to 15 months, her curve progressed from 28, to 35, to 44 to 48. She ultimately underwent surgery with an excellent outcome. She is doing fantastic now, returning to normal activities.
Side benders reveal a relatively stiff curve when bending to the right, but her overall balance was acceptable. Her shoulder alignment was level as well as her pelvis alignment.
After failing bracing, she eventually underwent a posterior spinal fusion with re‐alignment of her spine.
She is doing fantastic now, returning to normal activities.