Surgical treatment of dorso lumbar scoliosis in a homocystinuric child
Merckx, J.; Rigault, P.; Padovani, J.P.; Saudubray, J.M.; Guyonvarch, G.
Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 67(6): 625-629
1981
ISSN/ISBN: 0035-1040 PMID: 6458858 Document Number: 181789
The authors report an observation which is interesting in many points of view. 1. A homocystinuria was found in a 7 year old child. The diagnosis of this disease in the sister of the patient led to make a family schedule and permitted to connect to this homocystinuria the entirety of the pathological signs found in the patient, particularly a serious scoliosis. 2. Because of the rarity, the severity of the vital prognosis and the risk of thrombo-embolic complications of the homocystinuria any important surgical intervention was given up until the age of 13 years, but the aggravation of the scoliosis at this moment made an operation necessary. After an orthopaedic, dietetic and anti-aggregative preparation, a posterior vertebral arthrodesis was done without any incidence. 3. One year after this intervention, the orthopaedic as well as the medical evolution have been favourable, and there have been no accident to deplore, especially no thrombo-embolism.