A 43-Year Follow-Up of Unilateral Harrington Rod Instrumentation and Limited Fusion for Adolescent Idiopathic Scoliosis.
harrington rod
idiopathic scoliosis
lumbar obliquity
revision spinal fusion
scoliosis
ultra-long follow up
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
05 Apr 2021
05 Apr 2021
Historique:
entrez:
3
6
2021
pubmed:
4
6
2021
medline:
4
6
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34079642
doi: 10.7759/cureus.14299
pmc: PMC8159338
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e14299Informations de copyright
Copyright © 2021, Vokes et al.
Déclaration de conflit d'intérêts
The authors have declared financial relationships, which are detailed in the next section.
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