← Back Mathew M. | Neuromuscular Scoliosis

Neuromuscular Scoliosis with underlying diagnosis of SMA, MAGEC insertion followed by a Posterior Spinal Fusion 5 years later.

This is an 11 year old who had a MAGEC insertion at 6 years of age in the setting of Spinal Muscular Atrophy (SMA) type 2. He had MAGEC lengthenings about every 4 months until it ran out of length at which time it was transitioned to a Posterior Spinal Fusion and Instrumentation. At the time of the fusion, he had a 73 degree lumbar curve. He had a Spinal Fusion that incorporated a skip level construct so that he could still have the potential for intrathecal delivery of medications for SMA. Dr. Vitale was an author on a paper about this titled “Skip constructs in spinal muscular atrophy: outcomes of a novel approach for posterior spinal instrumentation and fusion”. In addition to this he had a left femoral and pelvic osteotomy by Dr. Vitale at the age of 5. When we saw him at his 4 month post op mark, he was doing great and had no complaints of pain or issues from the surgery.

Konigsberg W, Matthew, Matsumoto, Hiroko, Ball, Jacob, Roye, Benjamin, Vitale G, Michael. Skip constructs in spinal muscular atrophy: outcomes of a novel approach for posterior spinal instrumentation and fusion. Spine Deform. 2020 Oct;8(5):1093-1097. doi: 10.1007/s43390-020-00107-3. Epub 2020 Apr 6. PMID: 32253736