Sciolosis Cases

1. KJ
● 28 y/o F with cervical and lumbar pain for
years
● No significant PMH
● Exam: Intact

2. ● Midthoracic scoli
apex at T6
● Thoracolumbar
scoli apex at L1

3. KJ
● Stage 1: T1-12 screws, T4-T8 Ponte
osteotomies
● Stage 2: T1-12 fusion, T5-7 interbodies, T6
bilat asymmetric PSO, correction by
compression and translation

5. KP
● 54 y/o F p/w severe back pain, completely
nonambulatory for 8 months, and wheelchair
bound for 10 years
● PMH: Ankylosing spondylitis, s/p T10-12
laminectomy, LE DVT s/p IVC filter on
coumadin, perforated bowel s/p ostomy, thyroid
CA, breast CA, Obesity
Exam: B/L UE 5/5, RLE prox 4-/5, dist 5/5;
LLE prox 2/5, dist 5/5

6. KP
● 1/7 CT C/L/S Spine
○ Fixed sagital kyphosis
○ DISH, OPLL C1-2; T12-L1
● 1/14 MRI Tspine
○ myelomalacia T3-4, + cord signal change, T10 cord
tethering
● 1/30 CT Tspine - postop

7. KP
● Stage 1: T2-5 laminectomy, release of
tethered cord
● Stage 2: T1-L1 fusion, T9 vertebral column
resection
● Postop Exam: RLE prox 4-/5, dist 5/5;
LLE prox 2/5, dist 5/5

8. KP

11. KP
● Stages 3 & 4: Lumbar & Cervical PSO