A case report of congenital scoliosis associated with situs inversus totalis

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Abstract

Rationale:

Situs inversus totalis is a rare anomaly disease in which the organs in the chest and abdomen are positioned in a mirror image reversal of normal positions. Although this has been confirmed to be associated with spinal abnormalities, reports about situs inversus totalis with congenital scoliosis remain limited.

Patient concerns:

We present a 9-year-old girl having congenital scoliosis associated with situs inversus totalis.

Diagnoses:

She also had other associated anomalies: ventricular septal defect, mild restrictive ventilatory dysfunction, hydronephrosis, and syringomyelia. Her preoperative Cobb angle (T11–L3) was 78°.

Interventions:

She received single growing rods treatment and subsequent posterior spinal fusion correction surgery for her scoliosis.

Outcomes:

The coronal Cobb angle of the main curve was corrected to 20° postoperatively and no obvious loss of spinal corrective angle was identified 1 year after the correction surgery.

Lessons:

Growing rods technique could be a safe and effective alternative for the treatment of scoliosis associated with situs inversus totalis. In the correction of left-sided lumbar curve of this kind of patients, the risks of aorta impingements should not be neglected when placing pedicle screws on the concave sides.

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