Acute Onset Atypical Severe Scoliosis: A Case Report

Luca Labianca; Cosma Calderaro; Stuart L Weinstein

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Acute Onset Atypical Severe Scoliosis: A Case Report

Journal article

Open access

Peer reviewed

Acute Onset Atypical Severe Scoliosis: A Case Report

Luca Labianca, Cosma Calderaro and Stuart L Weinstein

The Iowa orthopaedic journal, Vol.39(1), pp.85-88

2019

PMCID: PMC6604548

PMID: 31413680

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604548View

Published (Version of record) Open Access

Abstract

Although most cases of scoliosis are idiopathic, scoliosis may also be congenital or associated with other diseases. Herniated Nucleus Pulposus (HNP) has been reported as a potential cause of non-structural scoliosis. HNP is unusual in adolescents and the clinical features are typically different from those in adults. An 18-year-old Caucasian male was referred to our ambulatory service for evaluation of scoliosis after orthopedic evaluation at another center. He had noticed left-sided low back pain in the previous 6 months, which had worsened over the last two months with the development of limp and left lower extremity (LLE) paresthesias. After an accurate clinical evaluation, the acute onset of the curvature with mild back pain and associated neurological findings were suggestive of an intraspinal lesion. The MRI examination showed an L4-L5 HNP compressing L4 nerve root and displacing the distal L5 nerve root. An L4-L5 laminectomy and discectomy were performed. His left leg pain was completely relieved the day after surgery. At 3 months follow-up complete resolution of scoliosis deformity and return to full activity was achieved. Every child who presents with atypical scoliosis should have a complete physical examination and appropriate imaging studies seeking an underlying cause. V.

Acute Disease

Adolescent

Ambulatory Care Facilities

Diskectomy - methods

Follow-Up Studies

Humans

Intervertebral Disc Degeneration - complications

Intervertebral Disc Degeneration - diagnostic imaging

Intervertebral Disc Degeneration - surgery

Intervertebral Disc Displacement - complications

Intervertebral Disc Displacement - diagnostic imaging

Intervertebral Disc Displacement - surgery

Low Back Pain - diagnosis

Low Back Pain - etiology

Magnetic Resonance Imaging - methods

Male

Pain Measurement

Radiography, Thoracic - methods

Risk Assessment

Scoliosis - diagnostic imaging

Scoliosis - etiology

Treatment Outcome

Details

Title: Subtitle: Acute Onset Atypical Severe Scoliosis: A Case Report
Creators: Luca Labianca - Department of Orthopaedics and Traumatology, S. Andrea Hospital, "Sapienza" University of Rome, Italy
Cosma Calderaro - Enrico and Enrica Sovena Foundation, Rome, Italy
Stuart L Weinstein - University of Iowa
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.39(1), pp.85-88
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 31413680
PMCID: PMC6604548
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2019
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
Record Identifier: 9984304691402771

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