This young boy with severe spastic quadriplegia and history of thoracic fractures did very well after kyphosis surgery several months ago, but then developed increased pain and deformity due to a compression fracture in his lumbar spine.
I revised and extended his instrumentation and fusion down to the iliac wings bilaterally.
His surgery went very well, and his pain is now relieved, and he will be going home to his rehab Saturday.
Osteoporotic fractures are rare in children, but are more common in children who are non-ambulators, or who have chronic nutritional deficiencies, chronic steroid use, etc.
This young boy should do well now, with nearly his whole spine supported and straightened with the hardware.
This chilid’s guardian, Jeannie is an absolute loving angel, and has helped to look out for this little boy for the past 8+ years he has been under the care of the State.
Lloyd A. Hey, MD MS
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC USA
http://www.heyclinic.com
How can we care for scoliosis and kyphosis and spondylolisthesis better with conservative care like physical therapy, high-tech scoliosis braces, exercise and other techniques? What can be done to improve surgical care, and understand choices for surgery, learning from those around the world? How can we learn from aviation and from Deming's principles of "Standard Work" to constantly improve spine and all healthcare?
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