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Adolescent Idiopathic Scoliosis
Posted: Jan 12 2024 #(C102344)
E

15 y/o AIS

;
15 y/o AIS

HPI

Hx of spine deformity since age of 10. Wore brace for 2 years but had progressive worsening of deformity. Referred for surgical treatment.

PMH

None relevant.

PE

Short trunk, Right side rib hump deformity. No neuro abnormalities.

Poll
1 of 1
1. When approaching a severe scoliosis case which treatment option do you consider most appropriate? Please select one option from the following:
Preoperative halo gravitational traction
29%
8/27
    • Anterior Spine Release + Posterior Spinal Fusion
    37%
    10/27
    • Posterior Release + Traction + Posterior Spinal Fusion
    11%
    3/27
    • Vertebral Column Resection (VCR)
    7%
    2/27
    • One-Stage Correction with Posterior Spinal Osteotomie
    11%
    3/27
    • Other
    3%
    1/27
    • PROCEDURE #1

    HALO INSTALATION AND HALO-GRAVITY TRACTION WITH RAPID INCREASE IN WEIGHTS UNTIL 50% OF BW ACHIEVED

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    OUTCOMES
    Post-procedure P1
    PROCEDURE #2

    POSTERIOR SPINAL INSTRUMENTATION, RELEASES AND OSTEOTOMIES. PATIENT PLACED BACK IN TRACTION AFTER PROCEDURE.

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    OUTCOMES
    Post-procedure P2
    PROCEDURE #3

    PSF with extrapleural approach to IVD to perform anterior release via posterior approach.

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    OUTCOMES
    Post-procedure P3
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