Case Review: Case Review: Adolescent Idiopathic Adolescent Idiopathic

Scoliosis with a Scoliosis with a King III CurveKing III Curve

Robert S Pashman, MDScoliosis and Spinal Deformity Surgerywww.eSpine.com

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Patient Patient HistoryHistory

21 Year old female 21 Year old female with progressive with progressive scoliosis, King III scoliosis, King III curve, and severe curve, and severe cosmetic deformitycosmetic deformityThoracic pain; failed Thoracic pain; failed to respond to to respond to conservative conservative therapytherapy

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The patient has significant flexibility with reduction to 30°on the right bending.

She also has horizontalization of the L2 vertebra as the neutral vertebra on left side bending.

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Thoracic Pedicle screws were used to induce a better correction and to improve the three dimensional deformity. This is an improvement on the alternative procedure: hook rod instrumentation

Postoperative x-rays show complete correction by employing Thoracic Pedicle Screws

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Balance was Balance was achieved in the achieved in the

sagittalsagittal and and frontal planesfrontal planes