JBJS | Shortening of Growing-Rod Spinal Instrumentation Reverses Cardiac Failure in Child with Marfan Syndrome and Scoliosis: A Case Report

The Journal of Bone & Joint Surgery, Volume 90, Issue 12

Case Reports | December 01, 2008

Shortening of Growing-Rod Spinal Instrumentation Reverses Cardiac Failure in Child with Marfan Syndrome and Scoliosis: A Case Report

David L. Skaggs, MD¹; Gerald Bushman, MD²; Todd Grunander, MD³; Pierre C. Wong, MD⁴; Wudbhav N. Sankar, MD¹; Vernon T. Tolo, MD¹

¹ Division of Orthopaedic Surgery, Childrens Hospital Los Angeles, 4650 Sunset Boulevard M/S #69, Los Angeles, CA 90027. E-mail address for D.L. Skaggs: dskaggs@chla.usc.edu
² Department of Anesthesiology, Childrens Hospital Los Angeles, 4650 Sunset Boulevard M/S #3, Los Angeles, CA 90027
³ Department of Orthopaedics, University of Southern California, 1200 North State Street, GNH 3900, Los Angeles, CA 90033
⁴ Department of Cardiology, Childrens Hospital Los Angeles, 4650 Sunset Boulevard M/S #34, Los Angeles, CA 90027

The Journal of Bone & Joint Surgery. 2008; 90:2745-2750 doi:10.2106/JBJS.H.00263

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Growing-rod spinal instrumentation is used to control the progression of spinal deformity with use of minimal fusion, thereby allowing for growth in the immature patient^1-4. With this technique, rods are operatively lengthened about every six months, until the patient is near skeletal maturity^1,2. Complications such as infection, wound-healing problems, and loss of fixation are frequent^2,4. To our knowledge, cardiovascular compromise resulting from the lengthening of spinal growing-rod instrumentation has not been reported previously.

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Topics

marfan syndrome ; heart failure ; scoliosis ; spinal instrumentation ; rod photoreceptors

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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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