The narrative of Luke Johnston is one of extraordinary resilience and determination, beginning with a series of daunting medical hurdles that no parent should ever have to confront. Born with Saethre-Chotzen syndrome, a rare genetic condition that leads to fused bones, Luke’s early years were marked by uncertainty. His challenges included fused ribs, scoliosis, a tethered spinal cord, and congenital ptosis, all of which necessitated immediate and ongoing medical attention. However, this was just the start of his journey.
Luke’s difficulties persisted as he was diagnosed with hearing loss, a frequent complication associated with his condition. His parents, Amy and Joey Johnston, dedicated months to navigating a complex landscape of specialists, surgeries, and therapies, striving to provide their son with the best possible future. By the time he turned one, Luke had already undergone surgeries to correct his webbed fingers and address his tethered spinal cord. Despite these obstacles, the Johnston family’s commitment to finding solutions for Luke only intensified.

The Diagnosis of a Rare Condition
At the age of two, Luke’s health took another unforeseen turn. During a routine sleep study to address his sleep apnea, doctors uncovered a new complication: Luke had atlanto-occipital assimilation, a condition affecting less than 0.08% of the population. This rare condition, where parts of the spine press against the brain stem and spinal cord, put Luke at significant risk of paralysis from even minor falls. The news was devastating, and the Johnston family understood they needed to act swiftly to prevent lasting damage.
“We embarked on what we call ‘Luke’s World Tour,’” Amy Johnston recalls. “We traveled to three different hospitals, searching for the right care for Luke. But when we arrived at Stead Family Children’s Hospital, we felt assured in their ability to help him lead the life he deserved.”
The Johnston family was drawn to Stead Family due to the hospital’s esteemed neurosurgeon, Dr. Arnold Menezes, whose expertise in conditions like Luke’s had made him a highly sought-after specialist globally. Their decision was bolstered by personal recommendations and a renewed sense of hope that had been absent in their previous searches. Although Luke’s condition was rare, with Dr. Menezes’ confidence and experience, they believed there was still a chance for a positive outcome.

A Halloween Surgery: The Turning Point
Luke’s surgery was set for Halloween, a date that was both heartbreaking and appropriate. The family understood the procedure would be lengthy and challenging, but they were resolved to maintain a positive outlook. “Luke was disappointed about missing Halloween, but the staff at Stead Family made it so much easier for him,” Amy remembers. “They wore costumes to ensure he felt like he wasn’t missing out on the festivities.”
The 13-hour cervical spinal fusion surgery, performed by Dr. Brian Dlouhy, was a crucial procedure aimed at stabilizing Luke’s spine and preventing further harm. The surgery was intense, and Luke was placed on a ventilator in the intensive care unit afterward. The waiting period was agonizing, but the medical team kept the Johnston family updated throughout the operation.
For Amy and Joey, the most challenging aspect was the uncertainty of what to expect. Yet, even in the darkest times, there were moments of light. One of the most heartwarming experiences occurred when Luke, despite being heavily sedated, spotted a hospital facility dog named Corrin. Luke’s smile upon seeing Corrin for the first time was a beacon of hope after his surgery. “Corrin became such an integral part of Luke’s recovery,” Amy shares. “He was motivated to get out of bed and participate in his therapies because he wanted to spend time with her.”

A Community of Support
Luke’s recovery was not solely about medical interventions—it was also about the emotional support that enveloped him. The family felt the warmth and encouragement not only from the medical team but also from the community surrounding them. A particularly memorable moment was when Luke participated in “The Hawkeye Wave,” a unique tradition where University of Iowa fans wave to support patients. During a night game, Luke watched as people from all over the state joined in, and for the first time since his surgery, he shed tears of joy. “It made him feel like he wasn’t alone,” Amy reflects. “It was overwhelming to witness the outpouring of love and support for him.”
After 10 days in the hospital, Luke was finally able to return home. While the path to recovery would take time, the Johnston family felt an immense sense of relief. “I finally felt like I could breathe again,” Amy expresses. “We were in the best hands.”

Luke Today: A Life Full of Joy and Possibility
Now, at 8 years old, Luke is flourishing. He enjoys art, puzzles, coding, and even writing books, including one about his surgical experience that he shared with his classmates. “Luke is a blend of sensitive and silly,” his parents describe. “He loves making people laugh and spreading joy to others.”
While Luke continues to attend check-ups and therapies at Stead Family Children’s Hospital, his life is brimming with joy and potential. The limitations on his movement are gradually easing, and he is slowly returning to the activities he cherishes. The Johnston family remains profoundly grateful for the care Luke received and for the medical team that helped him reclaim his future.
Luke’s story embodies resilience, hope, and the unbreakable bond between a family and their community. Through every challenge, Luke has demonstrated that even in the face of the most daunting circumstances, a child’s strength can inspire others. As his parents reflect on their journey, they are certain of one thing: “For the worst possible thing to happen to your kid, it was the best possible scenario.”
Luke’s experience serves as a powerful reminder of the significance of finding the right care, the strength of community support, and the incredible impact of love and resilience.









