• J Pediatr Orthop B · Sep 2008

    Case Reports

    Pelvic fracture after scoliosis surgery in osteogenesis imperfecta: a case report.

    • Hitesh N Modi, Seung Woo Suh, Hae-Ryong Song, Sunit Hazra, and Seok-Hyun Lee.
    • Department of Orthopedics, Korea University Guro Hospital, Seoul, Korea.
    • J Pediatr Orthop B. 2008 Sep 1;17(5):225-9.

    AbstractLiterature, describing scoliosis in patients of osteogenesis imperfecta (OI), favors operative treatment as soon as possible in the form of fixation with instrumentation and fusion to prevent curve progress and pulmonary function deterioration. There are various complications associated with the treatment of scoliosis in OI before, during, and after surgery because of poor bone quality in such patients. We presented a case report of stress-induced transverse fracture of both iliac wings after scoliosis surgery in a 16-year-old girl with OI, who was treated conservatively. Owing to unusual symptoms and continuous dull pain in her back, the diagnosis was delayed during which the conditions made her life miserable. This report also suggests that a stress fracture should be on high suspicion in OI patients when they present with minor difference in the nature of pain.

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