{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:11Z","timestamp":1787755271173,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>An adolescent girl presented with an atypical scoliotic curve, pelvic obliquity, back pain, and lower-extremity paresthesias. A workup revealed generalized primary torsion dystonia. The condition was refractory to medical treatment and necessitated implantation of a deep brain stimulator. The scoliosis required operative correction, and the patient underwent posterior spinal arthrodesis with hook-rod instrumentation, which resulted in successful correction through 7 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The differential diagnosis for adolescent scoliosis should include dystonia as a potential cause, especially when a patient presents with muscular contractures, an atypical scoliotic curve, pelvic obliquity, or changing curve characteristics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00193","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T12:10:10Z","timestamp":1500552610000},"page":"e47-e47","source":"Crossref","is-referenced-by-count":2,"title":["Scoliosis Secondary to Dystonia"],"prefix":"10.2106","volume":"7","author":[{"given":"Amit K.","family":"Bhandutia","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery (A.K.B. and M.J.S.) and Neurological Surgery (R.N. and D.M.W.), Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Nangunoori","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (A.K.B. and M.J.S.) and Neurological Surgery (R.N. and D.M.W.), Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald M.","family":"Whiting","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (A.K.B. and M.J.S.) and Neurological Surgery (R.N. and D.M.W.), Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Sangimino","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (A.K.B. and M.J.S.) and Neurological Surgery (R.N. and D.M.W.), Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"issue":"8","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1056\/NEJMra055549","article-title":"Dystonia","volume":"355","author":"Tarsy","year":"2006","journal-title":"N Engl J Med."},{"issue":"1","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11832-012-0457-4","article-title":"Epidemiology of adolescent idiopathic scoliosis","volume":"7","author":"Konieczny","year":"2013","journal-title":"J Child Orthop."},{"issue":"2","key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s00586-009-1243-y","article-title":"Motor cortical hyperexcitability in idiopathic scoliosis: could focal dystonia be a subclinical etiological 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