Pelvic obliquity in neuromuscular scoliosis: radiologic comparative results of single-stage posterior versus two-stage anterior and posterior approach

Spine
Eun Su MoonHak-Sun Kim

Abstract

retrospective comparative study (Level III). to compare the operative results of posterior fusion and a 2-stage anterior L5-S1 fusion followed by posterior fusion in neuromuscular scoliosis patients with significant pelvic obliquity (PO). PO in neuromuscular scoliosis is common and a challenging problem that affects proper sitting balance, necessarily addressing the deformity and proper maintenance of the correction. a total of 54 patients with neuromuscular scoliosis and significant PO (>10°) were divided into 2 groups. Group 1 (n = 24) was operated on for posterior fusion and pelvic fixation. Group 2 (n = 30) included patients who were subjected to a first-stage procedure consisting of a lumbosacral junction release and fusion through a midline retroperitoneal approach and then a second-stage procedure of posterior fusion and pelvic fixation. Parameters measured included length of the follow-up, number of fusion levels, age at operation, forced vital capacity, operative time, estimated blood loss, and postoperative complications. Radiologic parameters measured before surgery, after surgery at the time of discharge, and at a final follow-up included Cobb angle, T1 translation, sitting pelvic obliquity (PO) in the frontal plane...Continue Reading

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Citations

Jul 19, 2013·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·Benjamin BouyerRaphaël Vialle
Nov 16, 2013·The Spine Journal : Official Journal of the North American Spine Society·Zhi-Wei WangYong Qiu
Nov 14, 2012·Journal of Pediatric Orthopedics·Lindsay AndrasVernon T Tolo
Dec 15, 2011·Spine·Paul D SponsellerPeter O Newton
Apr 14, 2012·Current Opinion in Pediatrics·Nanci Yuan
Apr 7, 2012·The Spine Journal : Official Journal of the North American Spine Society·Tomaž VrtovecFranjo Pernuš
Jun 20, 2015·Orthopedics·Mohamad J HalawiRobert D Fitch
Oct 11, 2014·The Spine Journal : Official Journal of the North American Spine Society·Kyung Soo SukByung Ho Lee
May 21, 2016·Journal of Neurosurgery. Spine·Kavelin RumallaIan G Dorward
Jul 25, 2018·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·Zhen-Xuan ShaoXiang-Yang Wang

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