Progressive neuromuscular scoliosis secondary to spinal cord injury in a young patient treated with nonfusion anterior scoliosis correction

Laury A. Cuddihy, M. Darryl Antonacci, Awais K. Hussain, Khushdeep S. Vig, Mary Jane Mulcahey, Randal R. Betz

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Ninety-eight percent of skeletally immature patients with spinal cord injury (SCI) suffer from progressive neuromuscular scoliosis (NMS). Operative treatment has typically been limited to posterior spinal fusion (PSF), but a newer technique as described may be less invasive and preserve more function. A PSF of the entire spine to the pelvis is standard of care. However, maintenance of spinal flexibility, motion, and potential growth is desirable. We present a case for proof-of-concept of utilizing a surgical motion-preserving technique to treat progressive NMS in an 11year-old girl with T10 level (AIS B) paraplegia with a progressive 60° NMS of the lumbar spine. She had anterior scoliosis correction (ASC) from T11-L5 without fusion. Over 24 months, the curve growth-modulated to a residual of 12° with continued modulation to 7° at 3-year follow-up (skeletal maturity).

Original languageEnglish
Pages (from-to)150-156
Number of pages7
JournalTopics in Spinal Cord Injury Rehabilitation
Volume25
Issue number2
DOIs
StatePublished - Mar 2019
Externally publishedYes

Keywords

  • Anterior scoliosis correction
  • Neuromuscular scoliosis
  • Posterior spinal fusion
  • Spinal cord injury

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