Severe Thoraco-lumbar Kyphoscoliosis Associated with Osteoporosis in Siblings - Case study

Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2015, Vol 17, Issue 2

Abstract

The incidence of scoliosis among patients with certain systemic diseases is much higher than in the general population. Moreover, the onset of the scoliosis is in early childhood before the age of 5 and the deformity reaches extreme values.We present the clinical course of two siblings with multiple musculoskeletal deformities, osteoporosis, severe kyphoscolisis and an undiagnosed systemic disease. The onset of scoliosis was in the first months of life of both children, with a marked progression about the 8th month of life. Due to lower limb deformities, ambulation was delayed until the 5th year of life in the male sibling, and the girl remains non-ambulant. Both children had osteoporosis, which caused numerous fractures of the upper and lower limbs. Due to progression of the spinal deformity the boy underwent a posterior hemispondylodesis with instrumentation at the age of 7. The girl also underwent surgery at the age of 7, but instrumentation could not be placed successfully due to inadequate bone quality. The last follow-up to date has been at the age of 12 years for the female patient and 20 years for the male patient. The spinal deformity in the female has not progressed during the last 2-3 years. She has been on bisphosphonate therapy for two years and no new fractures have been noted. The male patient has undergone multiple surgeries for lower limb deformities and is an independent walker. His scoliosis remains stable, but a minor progression of kyphosis has been noted in the last year.The history of the two patients shows that not all early-onset deformities can be effectively treated and that osteoporosis is a crucial obstacle to this treatment.

Authors and Affiliations

Edyta Szumera, Barbara Jasiewicz, Tomasz Potaczek, Jerzy Sułko, Maciej Tęsiorowski

Keywords

Related Articles

Computed Tomography in Evaluation of Revision Hip Arthroplasty Outcomes

Background. This study aimed to assess contact between Recon Shell reinforcement cages used in revision hip arthroplasty and the bony base. Radiographic examinations were performed with the use of multi-energy computed t...

Zastosowanie synowektomii izotopowej w leczeniu przewlekłego, wysiękowego zapalenia stawów

Wstęp. Synowektomia izotopowa (radiosynowiorteza) jest istotną metodą skutecznego miejscowego leczenia przewlekłych stanów zapalnych stawów. Jest alternatywą dla synowektomii chirurgicznej. Synowektomia izotopowa prowadz...

Outcome of total hip replacement in rheumatic arthritis

Background. Degenerative changes caused by rheumatoid arthritis (RA) typically occur in the hands and feet, but are not rare in the hip. The purpose of our research was to assess outcome in RA patients undergoing total h...

Effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) in Improving Shoulder Range of Motion. A Pilot Study

[b]Background.[/b] Subacromial impingement syndrome is a condition of the shoulder girdle which limits daily activities. It is worth seeking fast and effective treatment options. The aim of this study was to assess the i...

Penetration of a selected antibiotic and antiseptic into a biofilm formed on orthopedic steel implants

Background. The aim of the study was to determine the impact of octenidine hydrochloride and gentamicin on bacterial survival and reduction of biofilms formed on orthopaedic metal implants.Material and methods. We studie...

Download PDF file
  • EP ID EP77237
  • DOI 10.5604/15093492.1157095
  • Views 65
  • Downloads 0

How To Cite

Edyta Szumera, Barbara Jasiewicz, Tomasz Potaczek, Jerzy Sułko, Maciej Tęsiorowski (2015). Severe Thoraco-lumbar Kyphoscoliosis Associated with Osteoporosis in Siblings - Case study. Ortopedia Traumatologia Rehabilitacja, 17(2), 189-195. https://europub.co.uk/articles/-A-77237