+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The destroyed lung syndrome: report of a case after Harrington rod instrumentation and fusion for idiopathic scoliosis



The destroyed lung syndrome: report of a case after Harrington rod instrumentation and fusion for idiopathic scoliosis



Spine 27(14): E337



A case report is described. To describe the very rare complication of destroyed lung syndrome after scoliosis correction. The destroyed lung syndrome has, to our knowledge, never been associated with scoliosis in the literature. Bronchial kinking and compression by the vertebral column have been described in severe scoliosis cases. The patient, a 40-year-old woman was operated on in 1976 for a thoracic scoliosis and hypokyphosis using Harrington rod instrumentation and fusion with autologous bone graft. With a follow-up of 26 years, she has developed a very severe functional defect of the right lung, the so-called destroyed lung syndrome. After the index procedure, the patient developed various episodes of pneumonia and abscess formation in the right lung because of kinking and obstruction of the bronchial tree of the right lung. This seemed to be caused by a severe hypokyphosis and by residual scoliosis of the thoracic spine with direct compression of the right bronchus by the vertebral column. Eventually two stents were placed, but this prevented further deterioration only temporarily. After Harrington instrumentation and fusion for thoracic hypokyphotic idiopathic scoliosis, kinking and obstruction of a main bronchus are possible. In this patient, this complication gave rise to recurrent infections of the right lung, eventually progressing to destroyed lung syndrome.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047606684

Download citation: RISBibTeXText

PMID: 12131730

DOI: 10.1097/00007632-200207150-00021


Related references

Fracture-dislocation of the spine after spine fusion and Harrington instrumentation for idiopathic scoliosis. A case report. Journal of Bone and Joint Surgery. American Volume 62(8): 1374-1376, 1980

Spontaneus bilateral pedicle fracture 30 years after Harrington Instrumentation for idiopathic scoliosis: a case report. Journal of Medical Case Reports 6: 29, 2012

Low back pain after spinal fusion and Harrington instrumentation for idiopathic scoliosis. International Orthopaedics 29(1): 47-50, 2005

Surgical results of harrington instrumentation and fusion in patients with idiopathic scoliosis. Orthopaedic Transactions 11(1): 77, 1987

Results of Harrington instrumentation and fusion in the adult idiopathic scoliosis patient. Journal of Bone and Joint Surgery. American Volume 57(6): 797-801, 1975

Early ambulation following spinal fusion and Harrington instrumentation in idiopathic scoliosis. Clinical Orthopaedics and Related Research 1975(110): 54-62, 1975

The progression of idiopathic scoliosis after removal of Harrington instrumentation following spinal fusion. International Orthopaedics 7(2): 85-89, 1983

Adult idiopathic scoliosis treated by posterior spinal fusion and Harrington instrumentation. Spine 12(1): 32-36, 1987

Selection of Fusion Levels in Idiopathic Adolescent Scoliosis Treated by Harrington-DDT Instrumentation. Journal of Pediatric Orthopaedics B 4(1): 86-90, 1995

Twenty year follow up of patients with idiopathic scoliosis having harrington instrumentation and fusion. Orthopaedic Transactions 11(1): 182-183, 1987

Pseudarthrosis following treatment of idiopathic scoliosis by Harrington instrumentation and fusion without added bone. Journal of Pediatric Orthopedics 7(2): 152-154, 1987

The role of Harrington instrumentation and posterior spine fusion in the management of adolescent idiopathic scoliosis. Orthopedic Clinics of North America 19(2): 257-267, 1988

Treatment of idiopathic scoliosis by Harrington instrumentation and fusion with fresh autogenous iliac bone grafts. Journal of Bone and Joint Surgery. American Volume 51(2): 209-222, 1969

Combined Dwyer and Harrington instrumentation and fusion in the treatment of selected patients with painful adult idiopathic scoliosis. Spine 3(2): 135-141, 1978

Selection of fusion levels in idiopathic adolescent scoliosis treated by Harrington-DDT instrumentation: a short-term radiologic study. Journal of Pediatric Orthopedics. Part B 4(1): 86-90, 1995