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Case Reports
. 2019 Jan;98(1):e13855.
doi: 10.1097/MD.0000000000013855.

Acquired scoliosis following Nuss procedure for pectus excavatum: A case report

Yichen Meng  1 , Tao Lin, Wei Shao, Rui Gao, Xuhui Zhou
Affiliations
Case Reports

Acquired scoliosis following Nuss procedure for pectus excavatum: A case report

Yichen Meng et al. Medicine (Baltimore). 2019 Jan.

Abstract

Rationale: Nuss procedure is a safe and popular minimally invasive surgical technique for the correction of pectus excavatum in adolescents. Acquired scoliosis over 50 degrees after Nuss procedure has never been reported.

Patient concerns: A 14-year-old boy was referred to pediatric surgery for pectus excavatum deformity. He underwent a successful Nuss procedure. At follow up, the patient was noted having an asymmetric back whole spine X-ray showed a right-sided thoracic curve with a Cobb angle of 54 degrees.

Interventions and outcomes: We obtained a satisfactory result by removing the pectus bar and prescribing the patient a brace.

Lessons: This report demonstrates that the spine should be evaluated routinely before and after Nuss procedure. Besides, spinal fusion is not recommended for acquired scoliosis following pectus excavatum surgery.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
(A) Chest radiograph before the Nuss procedure. (B) Immediate postoperative chest radiograph. (C) Whole spine radiograph revealed a thoracic curve at four weeks’ follow-up postoperatively. (D) Whole spine radiograph taken after pectus bar removal. (E) Whole spine radiograph taken in a brace. (F) Whole spine radiograph taken at the last follow-up.
Figure 2
Figure 2
(A) Photograph showed asymmetry of the back. (B) Appearance in a brace. (C) Photograph taken at the last follow-up.
See this image and copyright information in PMC

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