Horner Syndrome Following an Upper Thoracic Vertebral Column Resection for Congenital Scoliosis: A Case Report. uri icon

Overview

abstract

  • CASE: A 12-year-old boy with congenital scoliosis underwent posterior spinal fusion from C7 to T7 with a vertebral column resection (VCR) of T3 to T4. Postoperatively, he developed left-sided ptosis and miosis with an unremarkable MRI of the head, cervical, and thoracic spine. Apraclonidine testing confirmed Horner syndrome. The patient required no ophthalmologic intervention and demonstrated continued functional and symptom improvement at 6 months with stable spinal alignment. CONCLUSION: This case highlights Horner syndrome as a rare potential complication of VCRs without epidural analgesia, emphasizing the need for additional counseling to families on this potential postoperative outcome.

publication date

  • February 19, 2026

Research

keywords

  • Horner Syndrome
  • Postoperative Complications
  • Scoliosis
  • Spinal Fusion
  • Thoracic Vertebrae

Identity

Scopus Document Identifier

  • 105030633256

Digital Object Identifier (DOI)

  • 10.2106/JBJS.CC.25.00550

PubMed ID

  • 41712740

Additional Document Info

volume

  • 16

issue

  • 1