Scoliosis by acquired rib fusion after thoracotomy in infancy

Korovessis, Panagiotis; Papanastasiou, Dimitris A.; Dimas, Anastasios; Karayannis, A.

doi:10.1007/bf00301057

Cited by 13 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…in 1993 describes a 6-year-old boy with scoliosis by acquired rib fusion after thoracotomy in early infancy [ 3 ]. Acquired scoliosis in early childhood may progress into adulthood and may pose an increased risk of health problems [ 4 ] and reduction in quality of life in later years [ 5 , 6 ]. The Scoliosis Research Society (SRS) treatment guidelines for adults with scoliosis is based on pain management, core strengthening exercises, and surgery for symptom relief to improve quality of life.…”

Section: Introductionmentioning

confidence: 99%

Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation

Lebel

2016

Scoliosis

View full text Add to dashboard Cite

BackgroundScoliosis is a complex three-dimensional (3D) spinal deformity. Acquired scoliosis in early childhood may progress into adulthood and pose an increased risk of health problems and reduction in quality of life. In Canada, patients with scoliosis are not referred for physiotherapeutic scoliosis-specific exercises (PSSE) despite the fact that Schroth physiotherapy, a scoliosis-specific 3D posture training and exercise program, can be effective in reducing pain and improving scoliosis curves, vital capacity, and overall quality of life in scoliosis patients. This case presentation shows that indeed adult curve progression can be stopped and even reversed with scoliosis specific Schroth physiotherapy (SSSPT) in an adult patient with scoliosis.MethodsThis is a retrospective case presentation involving a 23-year-old female scoliosis patient who began an outpatient Schroth physiotherapy exercise program and was initially monitored monthly and then annually for improvement in measurements of angle of trunk rotation (ATR) and chest expansion and improvement in vital capacity measured with incentive spirometry. Photos were taken to document body image periodically throughout Schroth physiotherapy treatment. Additionally, the patient completed SRS-22 quality of life questionnaires every 2 years to evaluate daily function, pain, self-imagine, mental health, and scoliosis management satisfaction.ResultsWithin one month of beginning SSSPT, the patient reported no more back pain and within 2 months, reported improved breathing. The patient also benefitted from improved chest expansion, reduced scoliosis curve angles (measured in Cobb degrees), increased vital capacity, decreased ATR, and higher SRS-22 scores. She became more active and resumed all athletic activity within 8 months of beginning Schroth physiotherapy.ConclusionsAdult scoliosis patients are not routinely referred for PSSE in Canada, even though Schroth physiotherapy, a form of PSSE, is shown to be effective in this case presentation. The patient in this case presentation was successfully treated with Schroth physiotherapy. Long-term comprehensive Schroth physiotherapy, to help correct and maintain proper posture in all aspects of daily living, should be part of scoliosis management for adult scoliosis patients in Canada to stop and reverse curve progression and to improve overall quality of life.

show abstract

Section: Introductionmentioning

confidence: 99%

Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation

Lebel

2016

Scoliosis

View full text Add to dashboard Cite

show abstract

“…In 1934, Bisgard [1] first reported on the development of thoracogenic scoliosis after surgical treatment of pulmonary tuberculosis, bronchiectasis, and chronic empyema. More recently, scoliosis secondary to rib resection has been associated with thoracotomy in patients with congenital heart disease, tracheoesophageal fistula and esophageal atresia, or malignant chest wall tumors [18][19][20][21][22][23][24][25][26][27][28]. More recently, scoliosis secondary to rib resection has been associated with thoracotomy in patients with congenital heart disease, tracheoesophageal fistula and esophageal atresia, or malignant chest wall tumors [18][19][20][21][22][23][24][25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Rib osteoblastoma as an incidental finding in a patient with adolescent idiopathic scoliosis

Lykissas

Crawford²,

Abruzzo³

2013

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

The purpose of this article is to present an unreported case of rib osteoblastoma associated with progressive adolescent idiopathic scoliosis and to discuss thoracogenic scoliosis as a potential cause of curve progression after tumor resection. An 11-year and 8-month-old girl with adolescent idiopathic scoliosis was referred with an incidental finding of an expansile lesion in the posterior left seventh rib. A computed tomography-guided needle biopsy established the diagnosis of benign osteoblastoma. Transarterial embolization was performed followed by wide resection. Sixteen months after surgery the patient underwent posterior spinal fusion to address her scoliosis progression during the growth spurt. Forty-one and 25 months after rib resection and spinal fusion, respectively, the patient remains asymptomatic, without local tumor recurrence, and with excellent correction of her spinal deformity. Although scoliosis secondary to rib osteoblastoma has been described in the literature, rib osteoblastoma may coexist with idiopathic scoliosis. In such a case, surgical management of osteoblastoma should not interfere with treatment of idiopathic scoliosis.

show abstract

“…Rothenberg is one of the pioneers who developed the multiportal VATS technique for pediatrics over the last three decades [1,2,9] . Besides the cosmetic and early postoperative morbidity concerns, some of the crucial benefits of thoracoscopic surgery in children (which may not affect the adult patients) are decreasing the risk of musculoskeletal deformity (asymmetric chest wall, scoliosis, rib fusion, and winged scapula) that may be noted after posterolateral thoracotomy in younger patients [10][11][12] . In adult patients, a natural progression and evolving of thoracoscopic techniques resulted recently in the evolution of uniportal VATS technique [3][4][5][6]13] .…”

Section: Discussionmentioning

confidence: 99%

Subxiphoid uniportal video assisted thoracoscopic lobectomy in a pediatric patient

Akar¹,

Shaqqura²,

Rumman³

et al. 2020

MIS

View full text Add to dashboard Cite

Thoracoscopic surgeries have witnessed tremendous and prompt recent development, especially in the field of uniportal video assisted thoracoscopic surgery (VATS) surgery. It is now possible to perform the most complex surgeries through this technique, which is of great benefit to the patient by significantly reducing the level of postoperative pain and complications of surgery. As surgeons gain experience in this field, their confidence and ability to push the limits and develop technologies are increasing. Performing uniportal VATS surgeries in children is a significant challenge for the surgeon due to the limited size of the thoracic cavity and the difficulty of the instrumentation. Here, we report the first case in the literature (as far as we know) of a uniportal Subxiphoid VATS lobectomy in a 2.5-year-old child. In conclusion, Subxiphoid uniportal VATS lobectomy is feasible in pediatric patients and may have some benefits over the intercostal approach.

show abstract

Scoliosis by acquired rib fusion after thoracotomy in infancy

Cited by 13 publications

References 10 publications

Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation

Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation

Rib osteoblastoma as an incidental finding in a patient with adolescent idiopathic scoliosis

Subxiphoid uniportal video assisted thoracoscopic lobectomy in a pediatric patient

Contact Info

Product

Resources

About