Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-level apical vertebrectomy

Jeffrey J. Nepple, Lawrence G. Lenke

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background context: Severe adolescent idiopathic scoliosis with respiratory insufficiency is infrequently seen in North America currently. Purpose: To present the case of a teenager from Moscow, Russia who was referred to our center with a severe scoliosis and respiratory compromise. Study design/setting: A case report on the evaluation and surgical treatment of a severely deformed teenager. Methods: A 14+10-year-old was referred to our center for treatment of a 149° thoracic scoliosis. Preoperative pulmonary function tests (PFTs) revealed severe restrictive disease with a forced vital capacity (FVC) of 1.3 L (34% predicted) and a forced expiratory volume in 1 second (FEV1) of 0.99 L (31% predicted). She underwent a 2-stage anterior and posterior 2-level vertebral column resection (VCR) with preoperative and in between anterior and posterior stage perioperative halo-gravity traction. Results: Her thoracic scoliosis was corrected to 48° over 3 years postoperative. Her 3-year follow-up PFT revealed an FVC of 1.85 L (52% predicted) and an FEV1 of 1.6 L (50% predicted). Conclusions: A staged anterior and posterior VCR with intervening halo-gravity traction is a viable option to treat severe scoliosis in patients with restrictive pulmonary function.

Original languageEnglish
Pages (from-to)e9-e13
JournalSpine Journal
Volume9
Issue number7
DOIs
StatePublished - Jul 2009

Keywords

  • Adolescent idiopathic scoliosis
  • Anterior and posterior vertebrectomy
  • Halo-gravity traction
  • Restrictive lung disease
  • Vertebral column resection

Fingerprint

Dive into the research topics of 'Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-level apical vertebrectomy'. Together they form a unique fingerprint.

Cite this