Scoliosis in a patient with nemaline myopathy: a case report and narrative review

Introduction: Nemaline myopathy, described in 1950, is a rare syndrome, and among the possible alterations, scoliosis is a frequent alteration. This article describes the case of a 13-year-old patient with nemaline myopathy and scoliosis treated surgically. During the procedure, several unexpected surgical difficulties were encountered, such as fusion of posterior elements, difficulty in passing screws and liquor leaked out. Therefore, more studies are necessary and the presence of an experimental operation to help with surgical complications are prudent

Idiopathic scoliosis: evaluation of loss of correction in postoperative follow-up

OBJECTIVE: To evaluate the postoperative loss of scoliosis correction using third-generation instrumental, comparing the immediately postoperative period, and the last visit of the patients operated on from 2002 to 2010. METHOD: This was a cross-sectional study, conducted by analysis of medical records, in which 45 patients undergoing scoliosis correction were included. Variables were evaluated preoperatively, immediately postoperatively and in the last follow-up visit after surgery. Statistical analysis of data was performed in PASW program, with a significance level of 95%. RESULTS: Among the 45 patients studied, 88.9% were female and 82.8% were in the skeletally immature group. The mean pre-operative Cobb was 57°, the postoperative was 6.5° and at the last visit, it was 7.04°. There was no statistic difference between postoperative Cobb angle and that at the last examination (p = 0.176). CONCLUSION: There was no significant loss of scoliosis correction loss between the immediate postoperative and the final radiographic evaluation