{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:54Z","timestamp":1787755854943,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Monozygotic 19-year-old female twins with Treacher Collins syndrome presented with progressive scoliosis; their primary thoracic curves measured 73\u00b0 in Twin 1 and 52\u00b0 in Twin 2. Both patients underwent posterior spinal fusion with low-density pedicle screw constructs and, at 1 year, demonstrated marked radiographic correction and improved quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although often overshadowed by craniofacial findings, extracraniofacial manifestations, such as spinal deformity, in Treacher Collins syndrome can cause severe morbidity. Early detection and timely fusion with low-density constructs provide safe, durable correction in severe cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00325","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T18:00:18Z","timestamp":1758218418000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Low-Density Instrumentation for Scoliosis Correction in Monozygotic Twins With Treacher Collins Syndrome"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6170-6037","authenticated-orcid":false,"given":"Javier","family":"Grajeda","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Universidad Francisco Marroqu\u00edn, Guatemala, 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M.","family":"Pahys","sequence":"additional","affiliation":[{"name":"Shriners Children's-Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven W.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Shriners Children's-Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"9","key":"bib1-20250930","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.3390\/genes12091392","article-title":"Treacher Collins syndrome: genetics, clinical features and management","volume":"12","author":"Marsza\u0142ek-Kruk","year":"2021","journal-title":"Genes (Basel)."},{"issue":"11","key":"bib2-20250930","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1177\/1055665621998138","article-title":"Treacher Collins syndrome in the United States: examining incidence and inpatient 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