UNASSIGNED: Surgical correction for @entity3792 is increasingly being performed for @entity1 with @entity1646 ( @entity1646 ). Reported case series have predominantly included @entity1 with Type I (Hurler) and Type IV (Morquio) @entity1646 . To their knowledge, the authors describe the first case report of surgical management of thoracolumbar @entity3792 in @entity5684 ( @entity1646 Type II) and the rare occurrence of @entity19339 following surgical stabilization. A 12-year-old @entity1 with @entity5684 presented with severe thoracolumbar @entity3792 and no associated symptoms. Spinal radiographs demonstrated @entity1513 of 48   (T11-L3) and @entity1635 of 22   (T11-L3) with an anteriorly hypoplastic @entity5022 vertebra. The @entity85 progressed to @entity1513 of 60   and @entity1635 of 42   prior to surgical intervention. Spinal CT scans identified left T12-L1 facet subluxation, causing anterior rotatory displacement of the spine proximal to @entity5022 isthmic spondylolysis with no spondylolisthesis. A combined single-stage anterior and posterior instrumented spinal arthrodesis from T-9 to @entity14331 was performed. @entity1513 and @entity1635 were corrected to 4   and 0  , respectively. Prolonged ventilator support and nasogastric feedings were required for 3 months postoperatively. At 2.5 years following surgery, the @entity1 was asymptomatic, mobilizing independently, and had achieved a solid spinal fusion. However, he had also developed a Grade II spondylolisthesis at L4-5; this was managed nonoperatively in the absence of symptoms or further deterioration of the spondylolisthesis to the 3.5-year postoperative follow-up visit. Satisfactory correction of thoracolumbar @entity3792 in @entity5684 can be achieved by combined anterior/posterior instrumented arthrodesis. The risk of developing @entity85 or instability in motion segments adjacent to an instrumented fusion may be greater in @entity1 with @entity1646 related to the underlying @entity2597 .

Thoracolumbar @entity3792 with unilateral subluxation of the spine and postoperative XXXX in @entity5684 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'boy'] @entity2597 :: ('MESH:D003240', 'Disease') :: ['connective tissue disorder'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['Kyphosis', 'kyphosis'] @entity5022 :: ('28938', 'Gene') :: ['L-1', 'L-1 and bilateral L-5'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis'] @entity3792 :: ('MESH:C565711', 'Disease') :: ['kyphoscoliosis'] @entity1646 :: ('MESH:D009083', 'Disease') :: ['mucopolysaccharidosis', 'MPS'] @entity19339 :: ('MESH:D013168', 'Disease') :: ['lumbar spondylolisthesis'] @entity85 :: ('MESH:D009140', 'Disease') :: ['deformity'] @entity5684 :: ('MESH:D016532', 'Disease') :: ['Hunter syndrome'] @entity14331 :: ('6124', 'Gene') :: ['L-4']
@entity19339 :: (MESH:D013168,Disease) :: ['lumbar spondylolisthesis']
