Idiopathic Scoliosis (Teen Female)

Case Information

This teenager had a very progressive severe idiopathic scoliosis. The patient had no spinal cord anomalies on the MRI.
Because of the large stiff curve, she was treated with anterior release of the thoracic curve to make it more flexible and shorten the anterior column at the same time.
The same day a posterior approach was performed to correct the spine and fuse it. Both the thoracic and lumbar curve were corrected and fused using posterior instrumentation.
The fusion was performed using local bone harvested from the spine and allograft bone bank bone.
The correction of both curves can be seen on the radiographs.
The clinical pictures demonstrate the correction of the scoliosis with marked reduction of the rib prominence.