Adorable baby girl sleeping in co-sleeper crib attached to parents' bed. Little child having a day nap in cot. Sleep training concept. Infant kid in sunny nursery
A 14-year-old male patient recently diagnosed with a defect in chromosome 9q13 related to the trinucleotide repeat GAA is referred for scoliosis evaluation. He walks with a slightly wide-based gait and has absent deep tendon reflexes. On examination, he has bilateral rigid cavovarus feet. Posteroanterior scoliosis radiographs reveal a major curve with a Cobb angle of 30°. Which of the following is the most appropriate treatment for his scoliosis?
Posterior spinal fusion with instrumentation
The description is that is that of Friedreich ataxia. Scoliosis is associated, but at 30° can be observed.
Growing rod spinal instrumentation with delayed spinal fusion
Growing rods are utilized for a younger age and a more severe curve.
Observation with possible bracing
The description is that is that of Friedreich ataxia. Scoliosis is associated, but at 30° can be observed and possibly braced.
Combined anterior/posterior spinal fusion with instrumentation
The description is that is that of Friedreich ataxia. Scoliosis is associated, but at 30° can be observed and possibly braced.
