History
A 16-year-old male was diagnosed with progressive adolescent idiopathic scoliosis by his pediatrician and referred to Dr. Stieber for evaluation.
He complained of mild discomfort and concern about the appearance of his spinal deformity.
Examination
On forward bending, the patient was noted to have a significant right thoracic prominence or rib hump. His neurologic examination was normal.
Pre-treatment images
Figure 1. Front to back (anteroposterior, AP) x-ray shows right thoracic (mid back) scoliosis
Figure 2. Side (lateral) x-ray
Diagnosis
Progressive adolescent idiopathic scoliosis; the main thoracic curve is measured at 60-degrees. (Figure 1)
Selected Treatment
The patient underwent corrective surgery on his back with placement of screws and rods.
Post-operative Images
Figure 3. Post-operative AP x-ray shows placement of rods and screws; spine stabilized
Figure 4. Post-operative lateral x-ray demonstrates rod and screw placement
Outcome
One year after scoliosis surgery performed by Dr. Stieber, the patient reports no pain and has gained a significant amount of height following correction. He is in school and participates in sports activities without restrictions.