Anatomical dissection of a cadaver with congenital scoliosis

Congenital scoliosis is a developmental anomaly involving poorly formed or fused vertebral segments resulting in an abnormal lateral curvature of the vertebral column and is often accompanied by significant rotational defects. Despite abundant literature on causes, diagnosis and treatment of scoliosis, little attention has been given to impacts of this condition on the musculoskeletal system beyond the bony defects. This report describes the detailed, layer-by-layer dissection of the superficial and deep back musculature and examination of the axial skeleton of a 47-year-old male with severe congenital scoliosis. The subject presented with both cervico-thoracic and thoraco-lumbar scoliotic curves. Dissection of the back muscles revealed notable asymmetry in the superficial muscles and marked atrophy of the deep back muscles on the left side. Examination of the axial skeleton revealed numerous bones which were abnormally porous, reduced thoracic volume, attenuated intercostal spaces on the left side and 2 separate fusion deficits, including an unsegmented bar spanning 6 vertebral segments.