Surgical correction of rigid thoracic lordoscoliosis.
A 17-year-old girl who had previously undergone both anterior and posterior fusion for a progressive thoracic lordoscoliosis required repeat surgery because of deteriorating respiratory function. Multiple anterior spinal osteotomies, multiple posterior spinal osteotomies, bilateral rib osteotomies, and correction with a Luque rod and sublaminar wires led to a successful final result despite a multitude of postoperative problems. Her scoliosis was improved by 30 degrees, her lordosis by 60 degrees, and her vital capacity by 330 cc.
Winter
R B
RB
Minnesota Spine Center, Minneapolis, Minnesota 55454.
D000293:Adolescent; D001864:Bone Wires; D001915:Braces; D003131:Combined Modality Therapy; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D005769:Gastrointestinal Motility; D006801:Humans; D016268:Internal Fixators; D008141:Lordosis / Q000150:complications / Q000601:surgery* / Q000628:therapy; D011183:Postoperative Complications; D012086:Reoperation; D012272:Ribs / Q000601:surgery; D012600:Scoliosis / Q000150:complications / Q000601:surgery* / Q000628:therapy; D013123:Spinal Fusion / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D013904:Thoracic Vertebrae / Q000002:abnormalities* / Q000601:surgery; D014797:Vital Capacity