Chief of Children's Orthopaedics in the Department of Orthopaedic Surgery, University of Missouri - Columbia School of Medicine (DOS UMC SOM) and at the Missouri Orthopaedic Institute (MOI), Columbia, Missouri.
DOS UMC SOM and MOI, Columbia, Missouri.
Mo Med. 2022 Mar-Apr;119(2):125-128.
All eleven-year-old girls want to do is play and be active like every other child her age. Yet, the ability to have a normal childhood for one of our patients became a concern when she and her parents noticed an abnormal lateral curvature in her spine, which was later diagnosed as adolescent idiopathic scoliosis. In February 2014, she presented with a 45° thoracic deformity with a high risk of progression. At that time, the gold standard for the treatment of her deformity was a posterior spinal fusion - a surgical treatment she nor her parents were interested in pursuing. After their initial appointment, her parents scoured the internet and discovered a new non-fusion surgical technique, known as vertebral body tethering, that might correct their daughter's deformity without the need for titanium rods in her spine. In April 2014, that same eleven-year-old girl underwent vertebral body tethering of her main thoracic deformity from T5 to L1 under the care and management of Dr. Daniel Hoernschemeyer, a pediatric orthopaedic surgeon, with the University of Missouri's Department of Orthopaedic Surgery. Today, she is a healthy young adult who is thinking more about prom than about her scoliosis.
所有 11 岁的女孩都想像其他同龄孩子一样玩耍和活跃。然而，当我们的一位患者及其父母注意到她脊柱出现异常的横向弯曲时，她正常童年的可能性就成了一个问题，后来被诊断为青少年特发性脊柱侧凸。2014 年 2 月，她出现了 45°的胸椎畸形，有进展的高风险。当时，治疗她畸形的金标准是后路脊柱融合术——一种她和她的父母都不感兴趣的手术治疗。在初次预约后，她的父母在网上搜索，发现了一种新的非融合手术技术，称为椎体拴系术，该技术可能无需在她的脊柱中使用钛棒就能矫正她的畸形。2014 年 4 月，这位同样 11 岁的女孩在密苏里大学骨科系的儿科骨科医生 Daniel Hoernschemeyer 博士的护理和管理下，接受了 T5 到 L1 的主要胸椎畸形的椎体拴系术。如今，她已成长为健康的年轻女性，她更关注舞会，而不是脊柱侧凸。
