16 yo Holly straightened up this morning with her severe trunk shift and lumbar scoliosis

Holly had a collapsing adolescent idiopathic scoliosis, lumbar  Lenke 5C.  We had to do extensive preoperative planning due to the degree of her trunk shift and some concerns about an oblique takeoff at the pelvis.  Preoperative CT scan as well as bending X-Rays and in-surgery prone view with manual pressure to fully evaluate the lumbo-sacral junction was very helpful to confirm that we could safely preserve her bottom two discs, rather than having to fuse to the iliac wings. 

Extra care was also taken to help with her trunk shift with fine adjustments to our correction while doing rod insertion.  Some Smith-Peterson osteotomies also helped to improve her correction and ensure proper lordosis.

I think she will be very happy with her new posture!
Estimated Blood Loss was only 75 cc.  No blood transfused.
Surgical time 2.5 hours, with fusion levels T11-L4.

Our young lady Ashley, who had the big kyphosis we fixed last Thursday did great over the weekend, and is heading home this morning.  Dad thinks she is about 3 inches taller!

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Dr. Lloyd Hey - Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com