Reactive scoliosis: a challenging phenomenon in adolescent patients with hip arthritis

Chowdhry M., Matsen Ko L., Franklin C., Parvizi J.

Arthroplasty Today, cilt.3, sa.3, ss.160-163, 2017 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1016/j.artd.2017.02.009
  • Dergi Adı: Arthroplasty Today
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.160-163
  • Anahtar Kelimeler: Adolescent, Limb length discrepancy, Reactive scoliosis, Slipped capital femoral epiphyses, Total hip arthroplasty
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Functional limb length discrepancy (LLD) in adolescents can result from soft tissue contracture following long-standing hip disease. We present a case of a 13-year-old girl with difficulty in ambulation due to right hip pain and LLD. Radiographs revealed severe arthritis of right hip with signs of avascular necrosis of the femoral head. The patient had developed reactive scoliosis of lumbar spine along with pelvic obliquity. After failing conservative management, total hip arthroplasty (THA) without attempting to equalize LLD was performed. At 6-month follow-up, patient was pain free with full range of motion and her functional LLD was completely resolved. In such adolescent patients, reactive scoliosis of spine is reversible, and with no evidence of true LLD, THA without correcting LLD should be the right choice.