Case of the week by Dr. Ketan Khurjekar
PRE-OP CLINICAL PHOTO PRE-OP ERAY POST-OP CLINICAL PHOTO POST-OP ERAY
DIAGNOSIS : ADOLESCENT IDIOPATHIC SCOLIOSIS
SURGERY: T3-L4 POSTERIOR INSTRUMENTED STABILIZATION
SURGEON :DR. KETAN KHURJEKAR
Patient presented with a crooked deformity in the back with a right shoulder riding up with the left flank being prominent & giving a awful awkward look.
The Boy’s parents first noticed this 4 years back when he was about 12 years old, but due to the fear of the surgery they did not go with the option. Over a four year period the spinal deformity grew rapidly and gave him a crooked back.
He was examined by Dr Ketan Khurjekar, Head of Spine surgery Department, Sancheti Hospital , Pune and was diagnosed to have severe rigid double major Thoraco -lumbar scoliosis. Dr Khurjekar felt surgical correction will give the desired results and a balanced shoulder. He explained that nowadays there is a increase in safety in these operations because of the improved surgical techniques and advances in anesthesia and medicine. He assured the patient a balanced spine and scoliosis correction.
The surgery performed was a posterior surgery (which is cosmetically better as compared to front and back surgery). Multiple osteotomies were performed and all the vertebrae were realigned in their safety limit with the help of Pedical screw and rods to give a balanced spine to a 16 year old boy.
Today the patient has started walking and performing all duties at the end of one week post surgery. Dr Khurjekar attributes the success of the surgery to improved surgical techniques and the untiring efforts of anesthetist and physician doctors and the awareness of the patients relatives.