Conservative treatment of a scoliosis patient after two heart surgeries in early childhood – A case report
South African Journal of Physiotherapy
| Field | Value | |
| Title | Conservative treatment of a scoliosis patient after two heart surgeries in early childhood – A case report | |
| Creator | Weiss, Hans-Rudolf Lay, Manuel Best-Gittens, Tamisha Moramarco, Marc Jimeranez, Mario | |
| Description | Introduction: This is a case report of a juvenile female patient with scoliosis following two heart surgeries for congenital heart disease (CHD).Patient presentation, management and outcome: Initially, the premenarchial female was 9 years old and had a Tanner stage 2–3 with a single thoracic curve of 65° Cobb. Because of the high risk for progression, immediate brace treatment was proposed as the father declined surgery. The patient received intensive treatment according to the Schroth Best Practice® programme and a Gensingen Brace® designed for large thoracic curves. Over the 18 months following the initial visit, she received two additional braces. As a result, the progression of the main curve was prevented. The patient continues to maintain an improved cosmetic result and is currently at a Risser 2.Conclusion: Surgery performed for CHD in rare cases may lead to stiff spinal deformity as a consequence of that surgery. Progression of a severe and stiff curve was prevented during the most vulnerable phase of the pubertal growth spurt with an improved clinical result. Therefore, we assume that the patient may have a normal life in adulthood with minor restrictions only. Supported by pattern-specific high correction exercises and braces, these typical single thoracic curves can be re-compensated to a more balanced appearance, less prone to progression in adulthood.Clinical implications: Because of the relative high risks of spinal fusion and the long-term unknowns of such an intervention, high-impact conservative treatment should be implemented first before surgical correction is considered. | |
| Publisher | AOSIS | |
| Date | 2021-11-30 | |
| Identifier | 10.4102/sajp.v77i2.1588 | |
| Source | South African Journal of Physiotherapy; Vol 77, No 2 (2021); 8 pages 2410-8219 0379-6175 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.co.za/index.php/sajp/article/view/1588/2773
https://sajp.co.za/index.php/sajp/article/view/1588/2774
https://sajp.co.za/index.php/sajp/article/view/1588/2775
https://sajp.co.za/index.php/sajp/article/view/1588/2776
|
|
ADVERTISEMENT
