From the Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea (Dr. Kim and Dr. Chang), and the Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain (Dr. Pizones).
J Am Acad Orthop Surg Glob Res Rev. 2024 Aug 7;8(8). doi: 10.5435/JAAOSGlobal-D-24-00160. eCollection 2024 Aug 1.
Adolescent idiopathic scoliosis (AIS) in siblings reflects genetic hypothesis; however, few studies have been published. Furthermore, to the best of our knowledge, there have been no reports in the literature of both siblings with AIS who underwent deformity corrections. A 15-year-old adolescent girl visited our clinic with back pain after recognition of the incidental findings of a scoliotic curve in the spine. Whole spine radiographs detected Lenke classification type 3CN. The patient underwent deformity correction with posterior instrumented fusion from T4 to L3 with thoracoplasty of the right 7th to 10th rib. Four years later, her 16-year-old younger brother also visited our clinic with back pain after recognition of the incidental findings of a scoliotic curve in the spine. Whole spine radiographs detected Lenke classification type 2AN. The patient underwent deformity correction with posterior instrumented fusion from T5 to L2 with thoracoplasty of the right 8th to 10th rib. In conclusion, we report on two siblings with AIS who underwent surgical treatment for different types of curves. They showed favorable outcomes after performing deformity correction with posterior instrumented fusion. Our rare case supports the underlying basis of genetic heterogeneity as a complex polygenic model.
青少年特发性脊柱侧凸(AIS)在兄弟姐妹中反映了遗传假说;然而,发表的研究很少。此外,据我们所知,尚无文献报道 AIS 患者同时存在脊柱侧凸畸形,且均接受了畸形矫正。一名 15 岁的少女因发现脊柱侧凸曲线而出现背痛,前来我院就诊。全脊柱 X 线片显示 Lenke 分类 3CN 型。患者接受了从 T4 到 L3 的后路器械固定融合,同时进行了右第 7 到 10 肋的胸廓成形术。4 年后,她 16 岁的弟弟也因发现脊柱侧凸曲线而出现背痛,前来我院就诊。全脊柱 X 线片显示 Lenke 分类 2AN 型。患者接受了从 T5 到 L2 的后路器械固定融合,同时进行了右第 8 到 10 肋的胸廓成形术。总之,我们报告了两例 AIS 患者,他们因不同类型的曲线接受了手术治疗。他们通过后路器械固定融合进行畸形矫正后,取得了良好的结果。我们的罕见病例支持遗传异质性的潜在基础是复杂的多基因模型。