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Pasquale Cinnella, MD

Spine Surgery Department CTO Hospital, TURIN

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Clinical Case

• Female from Capo Verde • Age 10 ys • Pathology: spondylo-metaphyseal chondrodysplasia

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Radiographs: progressive deformity

Pre-Operative AP Pre-Operative Lateral

93

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Radiographs

Lower limb deformity

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RadiographsTraction film

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ImagingCT scan Platispondylia: difficulty in screwing pedicles Congenital stenosis

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Planning

• Growing rod? • Brace untill bone maturity? • Definitive fusion?

• Consider difficulty of repeated surgeries related to social condition and living in Capo Verde.

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Treatment

• DEFINITIVE POSTERIOR FUSION WITH HYBRID HARDWERE (SCREWS, CLAMPS, HOOKS)

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Radiographs

Post-Operative AP (Pre-Operative AP)vs

2793

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Radiographs

Post-Operative Lateral (Pre-Operative Lateral)vs

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Thank You

Pasquale CinnellaSpine Surgery Department CTO Hospital, TURIN

Tel +39 011 6933290 Mobile +39 347 4496959

Pasquale Cinnella, MDSpine Surgery Department CTO Hospital, TURIN