Pelvic fixation in surgical correction of neuromuscular scoliosis.
Cerebral palsy
Deformity
Neuromuscular scoliosis
Pelvic fusion
Pelvic obliquity
Pelvis
Reoperation
Scoliosis surgery
Spine
Journal
North American Spine Society journal
ISSN: 2666-5484
Titre abrégé: N Am Spine Soc J
Pays: United States
ID NLM: 9918335076906676
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
14
03
2022
revised:
04
05
2022
accepted:
05
05
2022
entrez:
27
5
2022
pubmed:
28
5
2022
medline:
28
5
2022
Statut:
epublish
Résumé
Surgical correction of neuromuscular scoliosis can be associated with high complication rates, including such associated with pelvic fixation. Up to now it is debated whether and when to include the pelvis into the fusion construct. Therefore, we aimed to illuminate when pelvic fixation is beneficial in surgical correction of neuromuscular scoliosis. A prospective cohort of 49 patients (mean age 13 ± 3 y, 63% females, follow up 56 months, range 24-215) who underwent correction of neuromuscular scoliosis including S1/the ileum ( There was no significant difference in complications when comparing patients with (9 out of 18 patients, 50%) or without (9 out of 31 patients, 29%) fixation to the pelvis ( Pelvic fixation does not seem obligatory in wheelchair bound patients per definition. Even with pelvic obliquities up to 35° and large scoliotic curves >60°, avoiding pelvic fixation does not result in higher revision rate or worse clinical outcomes.
Sections du résumé
Background
UNASSIGNED
Surgical correction of neuromuscular scoliosis can be associated with high complication rates, including such associated with pelvic fixation. Up to now it is debated whether and when to include the pelvis into the fusion construct. Therefore, we aimed to illuminate when pelvic fixation is beneficial in surgical correction of neuromuscular scoliosis.
Methods
UNASSIGNED
A prospective cohort of 49 patients (mean age 13 ± 3 y, 63% females, follow up 56 months, range 24-215) who underwent correction of neuromuscular scoliosis including S1/the ileum (
Results
UNASSIGNED
There was no significant difference in complications when comparing patients with (9 out of 18 patients, 50%) or without (9 out of 31 patients, 29%) fixation to the pelvis (
Conclusion
UNASSIGNED
Pelvic fixation does not seem obligatory in wheelchair bound patients per definition. Even with pelvic obliquities up to 35° and large scoliotic curves >60°, avoiding pelvic fixation does not result in higher revision rate or worse clinical outcomes.
Identifiants
pubmed: 35619626
doi: 10.1016/j.xnsj.2022.100123
pii: S2666-5484(22)00026-9
pmc: PMC9126953
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100123Informations de copyright
© 2022 The Author(s).
Déclaration de conflit d'intérêts
None
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