Spontaneous fracture of the sternum in a child being treated in a Boston brace for kyphoscoliosis
- 32 Downloads
We report a child who suffered from short stature of unknown aetiology and rigid thoracolumbar kyphoscoliosis and developed a symptomatic spontaneous fracture of the sternum while being treated in a Boston brace. Modification of the brace was followed by uneventful healing of the sternal fracture. To our knowledge no mention has been previously made of this extremely rare complication, but the spine surgeon who treats complex spinal deformities in early childhood with braces should be aware of this potential complication, particularly if they are associated with rigid rotational kyphosis.
Key wordsSternum fracture Kyphoscoliosis Boston brace
Unable to display preview. Download preview PDF.
- 3.Bauer FW, McBeans M (1977) Sternal fracture and multiple myeloma. N Engl J Med 297:674–676Google Scholar
- 4.Bedbrook G (1982) Injuries of the spine. In: Wilson JN (ed) Watson-Jones fractures and joint injuries, 6th edn. vol 2, Churchil Livingstone, Edinburg, pp 289–292Google Scholar
- 5.Carr WA, Moe JH, Winter RB (1980) Treatment of idiopathic scoliosis in the Milwaukee brace: long-term results. J Bone Joint Surg [Am] 62:599–603Google Scholar
- 6.Gibson LD, Carter R, Hinshaw DB (1962) Surgical significance of sternal fracture. Surg Gynecol Obstet 443:114–118Google Scholar
- 8.Hall JE, Miller W, Shuman W, Stanish W (1975) Defined concept in the orthotic management of idiopathic scoliosis. Prosthet Orthot Int 29:7–11Google Scholar
- 9.Itani M, Evans AG, Park MW (1982) )Spontaneous sternal collapse. J Bone Joint Surg [Br] 64:432–436Google Scholar
- 10.Last RJ (1966) Anatomy, regional and applied, 4th edn. Churchill, London, pp 336–340Google Scholar
- 11.Laurnen EL, Tupper JW, Mullen MP (1983) The Boston brace in thoracic scoliosis. A preliminary report. Spine 8:288–392Google Scholar
- 15.Robertson DHH (1955) Kyphosis and fracture of the manubrium in tetanus: report of case. J Bone Joint Surg [Br] 37:466–470Google Scholar