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Old 21-10-2011, 06:39 PM
Dr Scoliosis Dr Scoliosis is offline
 
Join Date: Apr 2009
Posts: 187
Default Re: Marfans post scoli operation

Thank you for your further query.

In the circumstances which you describe where the upper thoracic spine curvature was fused there will be no spontaneous correction in the remaining degree of curvature.

By way of explanation, it is true that if there is a single primary curvature, usually in the thoracic spine, and compensatory curves above and below that, the latter may spontaneously correct if the primary curve is straightened out by the operative procedure. In most situations of this type the compensatory curves are quite mobile and can be shown to correct well on erect side-bending x-rays taken before the operative procedure. This may influence the planning of surgery.

I reiterate that scoliosis in Marfan syndrome is very different to adolescent idiopathic scoliosis and curves in this syndrome do not behave nearly as predictably as they do in adolescent idiopathic scoliosis.

Dr Scoliosis