J Korean Neurosurg Soc.  2020 Mar;63(2):228-236. 10.3340/jkns.2019.0192.

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

• Atici Y
• Polat B
• Erdogan S
• Gürpınar T
• Demiröz S

• KMID: 2501709
• DOI: http://doi.org/10.3340/jkns.2019.0192

Abstract

Objective
: It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; “How will the breasts look with respect to each other and what is the possibility of developing BA in the early follow-up period following the early surgical treatment and final fusion surgery of juvenile idiopathic scoliosis (JIS)?” For this reason, in this study, we aimed to evaluate the breast asymmetries of patients in the period after the final fusion.
Methods
: Following growing rod treatment, final fusion was achieved in 12 females with JIS. We used the anthropomorphic measurement of the modified BREAST-V formula to assess whether there was an asymmetry between the breasts after an average of 4.8 years (2–11) following final fusion.
Results
: In comparison, the mean volume of the left breast (222.4 mL [range, 104.1–330.2]) was larger than the mean volume of the right breast volume (214.5 mL [range, 95.2–326.7]) (p=0.034). The left breast was larger in 75% of the patients. BA was observed in 50% of the patients. No correlation was detected between the Cobb angle of the patient after final fusion and BA (p=0.688).
Conclusion
: In the late follow-up period, BA was detected in 50% of the patients with JIS who achieved final fusion after treatment with growing rod. In majority of the patients, left breast was larger. The patients with JIS and their families can be informed prior to the operation about the probability of BA seen in the follow-up period after fusion.

Keyword

Spine; Growing rod; Breast; Scoliosis; Surgery

Figure

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  Fig. 1. A : Preoperative anteroposterior and lateral radiography. B : Early postoperative anteroposterior and lateral radiography (patient No. 12).

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  Fig. 2. Three morphological parameters on breasts profile : 1) sternal notch-nipple distance (SN-N); 2) nipple-inframammary fold distance (N-IMF); and 3) breast projection (BP) (patient No. 12).

Reference

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