European Spine Journal

, Volume 3, Issue 2, pp 112–114 | Cite as

Spontaneous fracture of the sternum in a child being treated in a Boston brace for kyphoscoliosis

A case report and review of the literature
  • P. Korovessis
  • G. Sdougos
  • T. Dimas
Case Reports

Summary

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 words

Sternum fracture Kyphoscoliosis Boston brace 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Aaro S, Berg U (1982) The immediate effect of Boston brace on the renal function in patients with idiopathic scoliosis. Clin Orthop 170:243–245PubMedGoogle Scholar
  2. 2.
    Aaro S, Burstrom R, Dahlborn M (1981) The derotating effect of the Boston brace. A comparison between computer tomography and a conventional method. Spine 6:477–500PubMedGoogle Scholar
  3. 3.
    Bauer FW, McBeans M (1977) Sternal fracture and multiple myeloma. N Engl J Med 297:674–676Google Scholar
  4. 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. 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. 6.
    Gibson LD, Carter R, Hinshaw DB (1962) Surgical significance of sternal fracture. Surg Gynecol Obstet 443:114–118Google Scholar
  7. 7.
    Gompels BM, Votaw ML, Martel W (1972) Correlation of radiological manifestations of multiple myeloma with immunoglobulin abnormalities and prognosis. Radiology 104:509–511PubMedGoogle Scholar
  8. 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. 9.
    Itani M, Evans AG, Park MW (1982) )Spontaneous sternal collapse. J Bone Joint Surg [Br] 64:432–436Google Scholar
  10. 10.
    Last RJ (1966) Anatomy, regional and applied, 4th edn. Churchill, London, pp 336–340Google Scholar
  11. 11.
    Laurnen EL, Tupper JW, Mullen MP (1983) The Boston brace in thoracic scoliosis. A preliminary report. Spine 8:288–392Google Scholar
  12. 12.
    Law IP, Jones C (1975) IgA, myeloma and sternal fracture. JAMA 233:767–770CrossRefGoogle Scholar
  13. 13.
    Park WM, McCall IW, McSweeney I, Jones BF (1980) Cervicodorsal injury presenting as sternal fracture. Clin Radiol 31: 49–51CrossRefPubMedGoogle Scholar
  14. 14.
    Perez FL Jr, Coddington RC (1983) A fracture of the sternum in a child. Case report. J Pediatr Orthop 3:513–516PubMedGoogle Scholar
  15. 15.
    Robertson DHH (1955) Kyphosis and fracture of the manubrium in tetanus: report of case. J Bone Joint Surg [Br] 37:466–470Google Scholar
  16. 16.
    Rutledge DI (1962) Spontaneous fracture of the sternum simulating myocardial infarction. Postgrad Med 32:502–506PubMedGoogle Scholar
  17. 17.
    Uden A, Willner S, Petterson H (1982) Initial correction with the Boston thoracic brace. Acta Orthop Scand 53:907–912PubMedGoogle Scholar
  18. 18.
    Urovitz EPM, Fornasier UL, Czitrom AA (1977) Sternal metastases and associated pathological fractures. Thorax 32:444–449PubMedGoogle Scholar
  19. 19.
    Vassalo L (1969) Spontaneous fracture of the sternum simulating pulmonary embolism. Br J Clin Pract 23:388–341PubMedGoogle Scholar
  20. 20.
    Watts HG, Hall JE, Stanish W (1977) The Boston brace system for the treatment of low thoracic and lumbar scoliosis by the use of a girdle without superstructure. Clin Orthop 126:87–92PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • P. Korovessis
    • 1
  • G. Sdougos
    • 1
  • T. Dimas
    • 1
  1. 1.Orthopaedic DepartmentGeneral Hospital Agios AndreasPatrasGreece

Personalised recommendations