| A 14-year-old girl suffered from pyogenic infection following an sciatic intramuscular injection at the age of 10 months. The abscess was treated at that time and a contractured scar formed on the back. Scoliosis appeared at the age of 12 years and developed rapidly in the last 2 years.
Examination
A 6X20cm contractured scar was present on the low back. The trunk deviated to the right on standing view and curvature of the thoracolumbar spine was right-sided. The pelvis was oblique with the left side higher than the right. The length of her legs was equal.
Flexibility on forward and right sided bending was limited.
Images
A 6¡Á20cm contractured scar was present on the low back.
The trunk deviated to the right on standing view and curvature of the thoracolumbar spine was right-sided. The pelvis was oblique with the left side higher than the right. The length of the lower extrimities is equal
Flexibility on forward and right sided bending was limited.
X-rays
The curve ranged from T8 to L4 with a Cobb angle of about 80 degree.The side-bending films showed a limited flexibility.The Risser sign was ++++.The left iliac crest was 2 cm higher than the right.
3D CT and MR Images shows normal spinal cord
 
Diagnosis: Scoliosis resulted from lumbar back scar
Purpose of discussion: Treatment protocol |
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