Document Detail


Scoliosis and fused ribs. A case report.
MedLine Citation:
PMID:  9152456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: This case report illustrates a scoliotic patient with congenital fusion of several ribs associated with a thoracic curvature. OBJECTIVES: To report the procedure used to correct scoliosis in association with congenitally fused ribs. SUMMARY OF BACKGROUND DATA: All cases of congenitally fused ribs reported in the literature are associated with malformed vertebrae. For this reason, the only proposed treatment for patients with progressive scoliosis is a spinal fusion. This report presents the first case of progressive scoliosis associated with fused ribs, but without vertebral malformation, that was managed by resection of these ribs. METHODS: When worsening of the thoracic scoliosis was observed from 30 degrees at 13 months to 44 degrees at 4 years, the three fused ribs were resected en bloc. No spinal fusion was performed. The spine was held in correction by a localizer cast for 3 months. RESULTS: Fourteen years after treatment, the spine is almost normal; thoracic and lumbar curves are 10 degrees. CONCLUSIONS: When malformed fused ribs are on the concave side of a progressive scoliosis with no vertebral malformation at the same level, resection of these ribs is probably an efficient and sufficient method of treatment.
Authors:
J P Damsin; C Cazeau; H Carlioz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  22     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-18     Completed Date:  1997-07-18     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1030-2     Citation Subset:  IM    
Affiliation:
Department of Children's Orthopaedic and Reconstructive Surgery, Hôpital Trousseau, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Humans
Infant
Male
Ribs / abnormalities*,  surgery
Scoliosis / complications,  etiology*,  surgery
Thoracic Vertebrae / abnormalities*
Thorax / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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