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Case Reports   |    
Congenital Cervicothoracic Scoliosis Treated with Hemiepiphysiodesis and Placement of Distraction-Based InstrumentationA Case Report
Lindsay Andras, MD1; Rachel Tobin1; David L. Skaggs, MD1
1 Children’s Orthopaedic Center, Children’s Hospital Los Angeles, 4650 West Sunset Boulevard, Mailstop #69, Los Angeles, CA 90027. E-mail address for D.L. Skaggs: dskaggs@chla.usc.edu
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Investigation performed at Children’s Orthopaedic Center, Children’s Hospital Los Angeles, Los Angeles, California



Disclosure: One or more of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of an aspect of this work. In addition, one or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Jun 12;3(2):e56 1-6. doi: 10.2106/JBJS.CC.L.00258
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Early-onset scoliosis has many diverse causes1. The management of early-onset scoliosis is complicated by the need to control progression of spinal deformity without negatively impacting pulmonary function with early spinal fusion2,3. This has led to the development of “growth-friendly” instrumentation that allows growth of the thorax and increases the space for lung development4.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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