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Anatomical dissection of a cadaver with congenital scoliosis
open access
Abstract
Congenital scoliosis is a developmental anomaly involving poorly formed or fused vertebral segments resulting in an abnormal lateral curvature of the vertebral column and is often accompanied by significant rotational defects. Despite abundant literature on causes, diagnosis and treatment of scoliosis, little attention has been given to impacts of this condition on the musculoskeletal system beyond the bony defects. This report describes the detailed, layer-by-layer dissection of the superficial and deep back musculature and examination of the axial skeleton of a 47-year-old male with severe congenital scoliosis. The subject presented with both cervico-thoracic and thoraco-lumbar scoliotic curves. Dissection of the back muscles revealed notable asymmetry in the superficial muscles and marked atrophy of the deep back muscles on the left side. Examination of the axial skeleton revealed numerous bones which were abnormally porous, reduced thoracic volume, attenuated intercostal spaces on the left side and 2 separate fusion deficits, including an unsegmented bar spanning 6 vertebral segments.
Abstract
Congenital scoliosis is a developmental anomaly involving poorly formed or fused vertebral segments resulting in an abnormal lateral curvature of the vertebral column and is often accompanied by significant rotational defects. Despite abundant literature on causes, diagnosis and treatment of scoliosis, little attention has been given to impacts of this condition on the musculoskeletal system beyond the bony defects. This report describes the detailed, layer-by-layer dissection of the superficial and deep back musculature and examination of the axial skeleton of a 47-year-old male with severe congenital scoliosis. The subject presented with both cervico-thoracic and thoraco-lumbar scoliotic curves. Dissection of the back muscles revealed notable asymmetry in the superficial muscles and marked atrophy of the deep back muscles on the left side. Examination of the axial skeleton revealed numerous bones which were abnormally porous, reduced thoracic volume, attenuated intercostal spaces on the left side and 2 separate fusion deficits, including an unsegmented bar spanning 6 vertebral segments.
Keywords
dysmorphology, unsegmented bar, vertebra
Title
Anatomical dissection of a cadaver with congenital scoliosis
Journal
Issue
Article type
Case report
Pages
389-394
Published online
2014-09-05
Page views
1440
Article views/downloads
2605
DOI
10.5603/FM.2014.0058
Bibliographic record
Folia Morphol 2014;73(3):389-394.
Keywords
dysmorphology
unsegmented bar
vertebra
Authors
A. Stevenson
S. McCarthy
J. Kalmey
R. Kulesza