PMID: 3760165Sep 1, 1986Paper

Interspinous process segmental spinal instrumentation for scoliosis in cerebral palsy

Journal of Pediatric Orthopedics
P D SponsellerD S Drummond

Abstract

Interspinous process segmental instrumentation (ISSI) was used in 34 patients with scoliosis due to severe cerebral palsy. Average age was 17 years, and average curve was 82 degrees. Anterior fusion was performed in 21 patients before ISSI. Mean correction was 50.5%, and progression averaged 5 degrees at the 22-month follow-up. Posterior fusion alone gave good results in smaller curves. A brace was needed only for severe movement disorders. Gross functional level improved in fewer than one-third of patients. Minor gains were made by 74%. ISSI is effective in severe cerebral palsy. It may be used alone in the smaller (less than 80 degrees), more supple curves.

Citations

Aug 19, 2004·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Frederic Shapiro, Navil Sethna
Sep 12, 1998·Lancet·N SaitoK Takaoka
Mar 7, 2017·Developmental Medicine and Child Neurology·Rachel TooveyKatrina Williams
May 16, 2014·World Journal of Orthopedics·Federico CanaveseAlain Dimeglio
Apr 15, 2009·Spine·Paul D SponsellerUNKNOWN Harms Study Group
Oct 18, 2011·Journal of Spinal Disorders & Techniques·Ramazan Akmeşe, Ali Kemal Us
Nov 26, 2010·Journal of Pediatric Orthopedics·Mohamed Hassan Mohamed AliLarry Holmes
Dec 17, 2003·Journal of Pediatric Orthopedics·Athanasios I TsirikosFreeman Miller
Apr 13, 2000·The Journal of Bone and Joint Surgery. American Volume·M YaziciJ W Hardacker

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