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Published on: October 16, 2013
Evolving Surgical Management for Early-Onset Scoliosis in Spinal Muscular Atrophy Type 1 Given Improvements in
Joseph P Drain1, Christopher A Iobst1,2, Reid Chambers2
1Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Insights
Magnetic growing rods successfully managed scoliosis in an 18-month-old with spinal muscular atrophy (SMA) type 1. This case highlights effective treatment for early-onset scoliosis in young SMA patients.
Area of Science:
- Pediatric Orthopedics
- Neuromuscular Disorders
- Spinal Surgery
Background:
- Early-onset scoliosis is a significant complication in spinal muscular atrophy (SMA) type 1.
- Improved medical care has increased life expectancy for SMA type 1 patients, necessitating effective scoliosis management.
Observation:
- An 18-month-old child diagnosed with SMA type 1 presented with rapidly progressive early-onset scoliosis.
- This patient represents the youngest known implantation of magnetic growing rods for scoliosis in an SMA patient.
Findings:
- Magnetic growing rods provided successful management of rapidly progressive scoliosis in this pediatric SMA case.
- The case details technical challenges, potential complications, and the positive outcome of this early intervention.
Implications:
- Growing-rod constructs are a viable option for managing scoliosis in SMA type 1 patients with extended lifespans.
- This case demonstrates the feasibility and success of early magnetic growing rod implantation in very young children with SMA and severe scoliosis.
Case:
We present a case of an 18-month-old child with early-onset scoliosis in the setting of spinal muscular atrophy (SMA) type 1 whose rapidly progressive scoliosis is successfully managed with magnetic growing rods, the youngest age of implantation in a patient with SMA we are currently aware of. Technical challenges, complications, and outcome are described in this case presentation.
Conclusion:
Patients with SMA type 1 and early-onset scoliosis can be managed with growing-rod constructs given dramatic improvements in medical care that have expanded life expectancy.
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