PMC6079611_01
(a-i) CCD in an adolescent patient (B.Y.) accompanied by bilateral pseudoarthrosis of the clavicle, small face, protruding forehead, open anterior fontanelles, tooth eruption problems, short stature, and coxa vara. Posterior instrumentation and fusion was performed for scoliosis (posterior T2-L3 pedicle screw and fusion with hook construct). (j-r) Orthoroentgenograms and clinical appearance of the patient on postoperative 16th year.
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No complications were observed throughout the regular follow-up period of 16 years (Figures 1 and 2).
Timeline of the disorder and treatment for case 1.
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No complications were observed throughout the regular follow-up period of 16 years (Figures 1 and 2).
(a-g) Clavicular hypoplasia, widened pubic symphysis, bilateral coxa vara, progressive scoliosis, and kyphosis marked by growth and grade 1 spondylolisthesis in our female patient (E.T.) with CCD. Hypermobile shoulders typically coming close together before the chest, due to concurrent bilateral clavicular hypoplasia. (h-k) Radiological and clinical appearances of scoliosis and kyphosis. (l, m) Growing rod applied (from the posterior, between T2 and L3) at 11 years of age and later was lengthened two times in two years. (n-r) Clinical and radiological images from the second year follow-up of the 13-year-old patient, and Ponte osteotomy and fusion to the deformity apices (fixation with pedicle screws at all levels between T2 and L2 and Ponte osteotomy and fusion to the deformity apices).
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Adequate spinal correction and patient satisfaction were achieved (Figures 3 and 4).
Timeline of the disorder and treatment for case 2.
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Adequate spinal correction and patient satisfaction were achieved (Figures 3 and 4).