Mirror-Image Early-Onset Scoliosis in Omphalopagus Conjoined Twins: A Case Report

Ahmed Elhessy; Ramin Espandar; Anna Rambo; Mona Doshi; Kevin M. Neal

doi:10.2106/JBJS.CC.25.00218

Mirror-Image Early-Onset Scoliosis in Omphalopagus Conjoined Twins: A Case Report

Ahmed Elhessy
, Ramin Espandar
, Anna Rambo
, Mona Doshi
, Kevin M. Neal

Montefiore Health System
Alfred I. duPont Hospital for Children

Research output: Contribution to journal › Article › peer-review

Abstract

Case:Omphalopagus conjoined twins (OCT) are rare and can present with scoliosis and multiple anomalies of major organs system. Management of scoliosis in OCT has not been reported previously. This report presents a case of mirror-image scoliosis of the thoracic spine in OCT and its conservative and surgical management.Conclusion:The male OCT were surgically separated at age 5 months, and their scoliosis was treated conservatively until age 5 years with casting, followed by magnetically controlled growing rods. Treatment of scoliosis in OCT poses unique challenges and requires a collaborative approach involving a team of experts from various disciplines. COPYRIGHT 2025 THE AUTHORS. PUBLISHED BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.

Original language	English
Article number	e25.00218
Journal	JBJS Case Connector
Volume	15
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.25.00218
State	Published - 1 Jul 2025

Keywords

bracing
casting
conjoined twins
magnetically controlled growing rods
mirror-image scoliosis
neonate/infant
omphalopagus
pediatric
Twins, Conjoined/surgery
Humans
Child, Preschool
Male
Scoliosis/diagnostic imaging

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10.2106/JBJS.CC.25.00218

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title = "Mirror-Image Early-Onset Scoliosis in Omphalopagus Conjoined Twins: A Case Report",

abstract = "Case:Omphalopagus conjoined twins (OCT) are rare and can present with scoliosis and multiple anomalies of major organs system. Management of scoliosis in OCT has not been reported previously. This report presents a case of mirror-image scoliosis of the thoracic spine in OCT and its conservative and surgical management.Conclusion:The male OCT were surgically separated at age 5 months, and their scoliosis was treated conservatively until age 5 years with casting, followed by magnetically controlled growing rods. Treatment of scoliosis in OCT poses unique challenges and requires a collaborative approach involving a team of experts from various disciplines. COPYRIGHT 2025 THE AUTHORS. PUBLISHED BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.",

keywords = "bracing, casting, conjoined twins, magnetically controlled growing rods, mirror-image scoliosis, neonate/infant, omphalopagus, pediatric, Twins, Conjoined/surgery, Humans, Child, Preschool, Male, Scoliosis/diagnostic imaging",

author = "Ahmed Elhessy and Ramin Espandar and Anna Rambo and Mona Doshi and Neal, \{Kevin M.\}",

year = "2025",

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doi = "10.2106/JBJS.CC.25.00218",

language = "English",

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journal = "JBJS Case Connector",

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T1 - Mirror-Image Early-Onset Scoliosis in Omphalopagus Conjoined Twins

T2 - A Case Report

AU - Elhessy, Ahmed

AU - Espandar, Ramin

AU - Rambo, Anna

AU - Doshi, Mona

AU - Neal, Kevin M.

PY - 2025/7/1

Y1 - 2025/7/1

N2 - Case:Omphalopagus conjoined twins (OCT) are rare and can present with scoliosis and multiple anomalies of major organs system. Management of scoliosis in OCT has not been reported previously. This report presents a case of mirror-image scoliosis of the thoracic spine in OCT and its conservative and surgical management.Conclusion:The male OCT were surgically separated at age 5 months, and their scoliosis was treated conservatively until age 5 years with casting, followed by magnetically controlled growing rods. Treatment of scoliosis in OCT poses unique challenges and requires a collaborative approach involving a team of experts from various disciplines. COPYRIGHT 2025 THE AUTHORS. PUBLISHED BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.

AB - Case:Omphalopagus conjoined twins (OCT) are rare and can present with scoliosis and multiple anomalies of major organs system. Management of scoliosis in OCT has not been reported previously. This report presents a case of mirror-image scoliosis of the thoracic spine in OCT and its conservative and surgical management.Conclusion:The male OCT were surgically separated at age 5 months, and their scoliosis was treated conservatively until age 5 years with casting, followed by magnetically controlled growing rods. Treatment of scoliosis in OCT poses unique challenges and requires a collaborative approach involving a team of experts from various disciplines. COPYRIGHT 2025 THE AUTHORS. PUBLISHED BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED.

KW - bracing

KW - casting

KW - conjoined twins

KW - magnetically controlled growing rods

KW - mirror-image scoliosis

KW - neonate/infant

KW - omphalopagus

KW - pediatric

KW - Twins, Conjoined/surgery

KW - Humans

KW - Child, Preschool

KW - Male

KW - Scoliosis/diagnostic imaging

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JO - JBJS Case Connector

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M1 - e25.00218

ER -

Mirror-Image Early-Onset Scoliosis in Omphalopagus Conjoined Twins: A Case Report

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Keywords

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