Résumé
Cet article rapporte le cas d'un enfant de 6 ans, opéré à deux reprises à sa naissance pour une atrésie congénitale de l'œsophage, par une thoracotomie postérolatérale droite sans résection costale. Il a développé à l'âge de 5 ans une scoliose thoracique sinistro-convexe de 15°, en raison d'une fusion acquise entre les extrémités postérieures des 4e, 5e et 6e côtes. Une année plus tard la scoliose s'est aggravée de 5°. Bien que l'association d'une scoliose congénitale à une fusion costale soit une entité bien connue, ce cas est le premier rapportant une scoliose évolutive secondaire à une fusion costale acquise.
Summary
This is a report of a 6-year-old boy who was operated upon twice for congenital esophageal atresia immediately after birth, via a right posteriolateral thoracotomy without rib excision, and at the age of 5 years developed a high left-convex thoracic scoliosis with Cobb angle of 15° due to an unilateral acquired fusion between the dorsal ends of the fourth, fifth, and sixth ribs. The scoliosis had progressed by 5° 1 year later. Although congenital scoliosis associated with rib fusion is a well known entity, to the authors' knowledge this is the first report of an acquired rib fusion producing progressive scoliosis.
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Korovessis, P., Papanastasiou, D., Dimas, A. et al. Scoliosis by acquired rib fusion after thoracotomy in infancy. Eur Spine J 2, 53–55 (1993). https://doi.org/10.1007/BF00301057
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DOI: https://doi.org/10.1007/BF00301057