Article
A. Scoliosis
16 year old girl presenting with head & trunk asymmetry & back deformity since 6 years.
No history of any proper treatment given. No h/o backache.
Standing erect Dorso-lumbo-sacral spine PA & Lateral views with planning. CT also done.
Post operative X-rays standing erect PA & Lateral, after 10 days of surgery. Clinical picture after a month. Segmental fixation with hooks, pedical screws & rods.
Post op Clinical picture after 2 years of surgery. The curve was arrested, good head-trunk balance achieved along with a reasonable correction which was maintained.
Cases
Adolescent Idiopathic Scoliosis
DR RAMANI NARASIMHAN
SENIOR CONSULTANT PEDIATRIC ORTHOPAEDIC SURGEON
INDRAPRASTHA APOLLO HOSPITALS, NEW DELHI
16 yr old girl with AIS
Clinical snap
Adam’s forward bending test
Pre op
Pre-op AP
Pre-op Lat
Planning
Surgery with the aim of: Arresting the curve Balancing the curve Correction in order of decreasing priority
Thorascopic anterior release f/b usage of segmental instrumentation posteriorly & autograft for fusion
Usage of per-op spinal cord monitoring
Spinal cord monitoring
Post-op
Anterior thoracoscopic release
Post op Xray
Post op clinical snaps
After 1 month
After 24 months
OrthoPed 