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Acquired scoliosis following Nuss procedure for pectus excavatum: A case report.
Medicine (Baltimore) 2019 January
RATIONALE: Nuss procedure is a safe and popular minimally invasive surgical technique for the correction of pectus excavatum in adolescents. Acquired scoliosis over 50 degrees after Nuss procedure has never been reported.
PATIENT CONCERNS: A 14-year-old boy was referred to pediatric surgery for pectus excavatum deformity. He underwent a successful Nuss procedure. At follow up, the patient was noted having an asymmetric back whole spine X-ray showed a right-sided thoracic curve with a Cobb angle of 54 degrees.
INTERVENTIONS AND OUTCOMES: We obtained a satisfactory result by removing the pectus bar and prescribing the patient a brace.
LESSONS: This report demonstrates that the spine should be evaluated routinely before and after Nuss procedure. Besides, spinal fusion is not recommended for acquired scoliosis following pectus excavatum surgery.
PATIENT CONCERNS: A 14-year-old boy was referred to pediatric surgery for pectus excavatum deformity. He underwent a successful Nuss procedure. At follow up, the patient was noted having an asymmetric back whole spine X-ray showed a right-sided thoracic curve with a Cobb angle of 54 degrees.
INTERVENTIONS AND OUTCOMES: We obtained a satisfactory result by removing the pectus bar and prescribing the patient a brace.
LESSONS: This report demonstrates that the spine should be evaluated routinely before and after Nuss procedure. Besides, spinal fusion is not recommended for acquired scoliosis following pectus excavatum surgery.
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