Different potential risk of injury from thoracic pedicle screw insertion between left and right main-stem bronchus in Lenke 1 type adolescent idiopathic scoliosis

Jiang, Jun; Qian, Bangping; Zhu, Zezhang; Wang, Bin; Yu, Yang; Qiu, Yong

doi:10.1007/s00586-016-4378-7

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…It has been widely recognized that the changed positions of scoliotic vertebrae can lead to the decreased distances between the vertebrae and the adjacent structures in scoliosis patients with increased potential risks of injuries of these structures from PS insertion. [ 14 ] And aorta impingement may be the most disastrous one among the complications caused by PSs. [ 15 ] Qiao et al [ 16 ] illustrated that the risks of the aorta impingement were mainly from the right PS in left-sided thoracolumbar/lumbar curves while from the left PS in right-sided curves.…”

Section: Discussionmentioning

confidence: 99%

A case report of congenital scoliosis associated with situs inversus totalis

Zhu

Huang²,

Zhou³

et al. 2017

Medicine

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Rationale:Situs inversus totalis is a rare anomaly disease in which the organs in the chest and abdomen are positioned in a mirror image reversal of normal positions. Although this has been confirmed to be associated with spinal abnormalities, reports about situs inversus totalis with congenital scoliosis remain limited.Patient concerns:We present a 9-year-old girl having congenital scoliosis associated with situs inversus totalis.Diagnoses:She also had other associated anomalies: ventricular septal defect, mild restrictive ventilatory dysfunction, hydronephrosis, and syringomyelia. Her preoperative Cobb angle (T11–L3) was 78°.Interventions:She received single growing rods treatment and subsequent posterior spinal fusion correction surgery for her scoliosis.Outcomes:The coronal Cobb angle of the main curve was corrected to 20° postoperatively and no obvious loss of spinal corrective angle was identified 1 year after the correction surgery.Lessons:Growing rods technique could be a safe and effective alternative for the treatment of scoliosis associated with situs inversus totalis. In the correction of left-sided lumbar curve of this kind of patients, the risks of aorta impingements should not be neglected when placing pedicle screws on the concave sides.

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Section: Discussionmentioning

confidence: 99%