This is a session from the upcoming IMAST conference in Istanbul this year...
http://www.srs.org/UserFiles/file/IM...elim-Final.pdf
If this is the actual range of opinion then I think there is no clear best solution unfortunately. I didn't realize that if true.
My main question to these guys would be what is the best chance of saving the lumbar which I am guessing is structural given the size in relation to the T curve.
Boy I would love to hear this session. For Newton to immediately fuse both curves, he must have a boatload of data showing selective fusion does not work in this case. Or maybe he only intends to fuse to L3 in any case. Certainly the gods hate this child, hypothetical or otherwise.
http://www.srs.org/UserFiles/file/IM...elim-Final.pdf
If this is the actual range of opinion then I think there is no clear best solution unfortunately. I didn't realize that if true.
My main question to these guys would be what is the best chance of saving the lumbar which I am guessing is structural given the size in relation to the T curve.
Boy I would love to hear this session. For Newton to immediately fuse both curves, he must have a boatload of data showing selective fusion does not work in this case. Or maybe he only intends to fuse to L3 in any case. Certainly the gods hate this child, hypothetical or otherwise.
Debate #3: Optimal Treatment for a 13-Year-Old, 6-Month Post-Menarchal
Elite Soccer Player with a 45-Degree Thoracic, 40-Degree Lumbar Lenke
3C Scoliosis
Moderator: Azmi Hamzaoglu, MD
8:15 Optimal Treatment is Observation
Paul D. Sponseller, MD
8:25 Optimal Treatment is Selective (Thoracic Only) Posterior
Instrumentation
B. Stephens Richards, III, MD
8:35 Optimal Treatment is Fusion of Both Curves
Peter O. Newton, MD
Elite Soccer Player with a 45-Degree Thoracic, 40-Degree Lumbar Lenke
3C Scoliosis
Moderator: Azmi Hamzaoglu, MD
8:15 Optimal Treatment is Observation
Paul D. Sponseller, MD
8:25 Optimal Treatment is Selective (Thoracic Only) Posterior
Instrumentation
B. Stephens Richards, III, MD
8:35 Optimal Treatment is Fusion of Both Curves
Peter O. Newton, MD
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