case_images: PMC5394385_01
case_images: (a) PA (posteroanterior) view of the spine showing progressive cervicothoracic scoliosis. (b) Lateral view image of the spine showing severe kyphosis with rotatory subluxation at the level of T4-T5. The degree of subluxation almost gives the appearance of a congenital vertebral dislocation at the T4 on T5 junction.
case_images: CRIOR2017-8263536.001.jpg
case_images: PMC5394385_01_CRIOR2017-8263536.001.jpg
case_images: fig1
case_images: Shriner's hospital at 3 years of age with Spina Bifida, congenital vertebral dislocation, and severe congenital scoliosis (Figures 1 and 2). Skeletal survey at the time also demonstrated dysplasia of both his ischium and certain segments of his spinal column (Figures 1 and 3).
case_images: (a) Sagittal cut of a CT-scan (myelogram) of the spine showing kyphosis demonstrated in the plain radiographs of Figure 1. (b) Three-dimensional reconstruction of the thoracic spine showing the severity of kyphoscoliosis.
case_images: CRIOR2017-8263536.002.jpg
case_images: PMC5394385_01_CRIOR2017-8263536.002.jpg
case_images: fig2
case_images: Shriner's hospital at 3 years of age with Spina Bifida, congenital vertebral dislocation, and severe congenital scoliosis (Figures 1 and 2). Skeletal survey at the time also demonstrated dysplasia of both his ischium and certain segments of his spinal column (Figures 1 and 3).
case_images: (a) AP radiograph of the pelvis and (b) abduction internal rotation views, both demonstrating bilateral dysplasia of the ischium.
case_images: CRIOR2017-8263536.003.jpg
case_images: PMC5394385_01_CRIOR2017-8263536.003.jpg
case_images: fig3
case_images: Shriner's hospital at 3 years of age with Spina Bifida, congenital vertebral dislocation, and severe congenital scoliosis (Figures 1 and 2). Skeletal survey at the time also demonstrated dysplasia of both his ischium and certain segments of his spinal column (Figures 1 and 3).
case_images: AP and lateral radiographs of the spine showing spinal instrumentation from the level of T1 down to the pelvis; the crank-shaft of his spine is also apparent here.
case_images: CRIOR2017-8263536.004.jpg
case_images: PMC5394385_01_CRIOR2017-8263536.004.jpg
case_images: fig4
case_images: From an orthopedic point of view, he developed a crank-shaft phenomenon of his spinal fusion and pseudarthrosis across his lumbosacral junction over the course of 8 years after surgery (Figure 4).
case_images: Postoperative AP radiograph of the pelvis after bilateral dega osteotomy and bilateral proximal femur varus derotational osteotomy.
case_images: CRIOR2017-8263536.005.jpg
case_images: PMC5394385_01_CRIOR2017-8263536.005.jpg
case_images: fig5
case_images: On his last assessment by the orthopedics team, imaging showed no further signs of subluxation (Figure 5).