Adolescent scar contracture scoliosis caused by back scalding during the infantile period

Abstract

The study design was a retrospective study in adolescent scar contracture scoliosis caused by back scalding during the infantile period. The objective of the study was to investigate the pathogenesis, clinical manifestation and treatment of adolescent scar contracture scoliosis caused by back scalding during the infantile period. This condition seldom occurs and is not reported in current English literature. One patient was first treated with skin expansion, back scar excision and skin flap transfer, followed by anterior correction with TSRH instrumentation. Two patients were first treated with back scar excision and anterior spinal release. One patient was treated with posterior correction with TSRH instrumentation, and thoracoplasty was performed after 50 days in halo-wheelchair traction. The other patient was treated with posterior correction with TSRH instrumentation. No management of scalding was performed on the fourth patient. Anterior release and posterior correction were performed at an interval of 3 weeks. The deformities of four patients were well corrected. Trunk balance was restored and the pelvis leveled. The skin incision wounds healed well. Minor loss of correction was recorded during the last follow-up. Severe scar contracture caused by back scalding during the infantile period could lead to adolescent scoliosis. Its pathogenesis and clinical manifestation are different from the typical adolescent idiopathic scoliosis. The treatment of this kind of scoliosis should be individualized.

Quantitative postural analysis and pain in children and adolescents victims of burns

“…Schneider e Qu 8 ) highlighted that the asymmetric burns in the trunk, hips and shoulder girdle can lead children to favor the affected side, that is, an inclination towards the burned area. Quiu et al 27 ) , also reported that wound contracture, in the trunk can lead to imbalance in the lateral-spine. In this context, most children and adolescents had their trunks affected by the burn and in accordance with Quiu et al 27 ) , it was possible to verify the lateral deviation in both groups, as well as the individual analysis made it possible to notice the asymmetry of the injury, however, it was not possible to notice the detection of any pattern to explain the difference in weight transfer between the groups.…”

“…Quiu et al 27 ) , also reported that wound contracture, in the trunk can lead to imbalance in the lateral-spine. In this context, most children and adolescents had their trunks affected by the burn and in accordance with Quiu et al 27 ) , it was possible to verify the lateral deviation in both groups, as well as the individual analysis made it possible to notice the asymmetry of the injury, however, it was not possible to notice the detection of any pattern to explain the difference in weight transfer between the groups. For the analysis of the lower limbs no significant difference was observed, as well as in the analysis of the difference of length of the lower limbs (A7), the average values were close to zero.…”

Physical and Psychiatric Recovery from Burns

“…50 Similarly, childhood burns of the anterior neck, shoulders, and chest wall may produce a rounding of the shoulders and sunken chest. Likewise, burn scar shortening and protective posturing can result in kyphosis.…”

Staged corrective surgery for complex adolescent kyphoscoliosis caused by back scalding during the childhood period

“…The new nomenclature proposed by Qiu [4] was introduced to avoid the confusion between idiopathic scoliosis, congenital scoliosis and many other types of scoliosis, such as Duchenne muscular dystrophy, thoracotomy, multicore myopathy with paraspinal contractures, contractures and growth disturbances in the hip and pelvis, especially radiation to the juxtaspinal and fractures to the bony spinal column along with continued exposure to physiological stresses.…”

“…Its incidence was reported to be 0.31 % because there were The left thoracolumbar curve was 122°with an apex at T11, and kyphosis was 100°, and b 1.5 months after Halo-bilateral femoral traction, the AP X-rays showed that coronal major curve was 72°3 only four cases of adolescent scar contracture scoliosis in 1,300 patients operated [4]. The pathogenesis of scar contracture scoliosis correlates more closely with the socalled postradiation spinal deformity [1] after radiation to the juxtaspinal and pleural scoliosis following extensive pleural scarring [3] due to chronic or acute infection.…”