Email updates

Keep up to date with the latest news and content from Scoliosis and BioMed Central.

Open Access Case Report

Rubinstein-Taybi syndrome with scoliosis

Yasunori Tatara1, Noriaki Kawakami2*, Taichi Tsuji2, Kazuyoshi Miyasaka2, Tetsuya Ohara2 and Ayato Nohara2

Author Affiliations

1 Gunma Spine Center, Harunaso Hospital, Takasaki, Gunma, Japan

2 Meijo Hospital, Spine Center, Nagoya, Aichi, Japan

For all author emails, please log on.

Scoliosis 2011, 6:21  doi:10.1186/1748-7161-6-21

Published: 30 September 2011

Abstract

Study Design

Case report.

Objective

The authors present the case of a 14-year-old boy with Rubinstein-Taybi syndrome (RSTS) presenting scoliosis.

Summary of Background Data

There have been no reports on surgery for RSTS presenting scoliosis.

Methods

The patient was referred to our hospital for evaluation of a progressive spinal curvature. A standing anteroposterior spine radiograph at presentation to our hospital revealed an 84-degree right thoracic curve from T6 to T12, along with a 63-degree left lumbar compensatory curve from T12 to L4. We planned a two-staged surgery and decided to fuse from T4 to L4. The first operation was front-back surgery because of the rigidity of the right thoracic curve. The second operation of lumbar anterior discectomy and fusion was arranged 9 months after the first surgery to prevent the crankshaft phenomenon due to his natural course of adolescent growth. To avoid respiratory complications, the patient was put on a respirator in the ICU for several days after both surgeries.

Results

Full-length spine radiographs after the first surgery revealed no instrumentation failure and showed that the right thoracic curve was corrected to 31 degrees and the left lumbar curve was corrected to 34 degrees. No postoperative complications occurred after both surgeries.

Conclusions

We succeeded in treating the patient without complications. Full-length spine standing radiographs at one year after the second operation demonstrated a stable bony arthrodesis with no loss of initial correction.

Keywords:
Rubinstein-Taybi syndrome; scoliosis; surgery