C. Pellengahr et al., RAPIDLY PROGREDIENT SCOLIOSIS ASSOCIATED WITH MULTICORE DISEASE, Archives of orthopaedic and trauma surgery, 117(6-7), 1998, pp. 411-414
Multicore disease is a rare congenital myopathy that normally stops or
makes slow progress. It starts with delayed motor development and fre
quent falls. Especially the proximal muscles are invovled. Other sympt
oms include contractures of joints, clubfoot, high arched palate, ches
t deformities, involvement of eye-muscle, cardiac abnormalities, hyper
lordosis and scoliosis that normally does not require surgery. We repo
rt a rare case of advanced scoliosis in multicore disease requiring op
erative treatment in a 15-year-old girl. In this case the scoliosis to
ok a rapidly progredient course in puberty close to the end of skeleta
l growth. A dorsal spondylodesis with USS instrumentation from T9 to L
3 was performed. A significant reduction of the scoliosis was obtained
. Scoliosis in multicore disease may take a rapidly progredient course
. Frequent checks will lead to the initiation of surgical treatment in
time.