H.E. is a 14 year old male with neurofibromatosis who developed a progressive scolioisis to 65 degrees. He had concerns about back pain and torso deformity due to the rib prominence.
He underwent a double surgery to the spine done under one anesthetic in one sititng. He had an anterior discectomy and fusion of the thoraco lumbar spine done through a thoracotomy. This was followed by a posterior spinal fusion done through a midline incision in his back. As the pre and post operative xrays and clinical photos can show he was nearly completely corrected with an excellent torso balance with elimination of his rib prominence via derotation of the vertebral bodies from the posterior surgery. The insturmentation he had placed to accomplish his correction is a hybrid construct with pedicle screws and sublaminar wires with 2 6.25mm titanium rods.
His blood loss was minimal post operatively . He spent less than a week in the hospital after surgery. He required no casting or bracing post operatively. At home he recovered quickly and is now back to full activity with no limitations , no pain and very happy with his correction which will be lifelong.