Pelvic displacement osteotomy for chronic hip dislocation in myelodysplasia.
Twelve children with lumbar-level myelodysplasia (average age, eight and three-quarter years) underwent twenty-one pelvic displacement osteotomies for subluxated or dislocated hips. Nineteen of the twenty-one hips remained reduced on three-year follow-up. Gains in gait pattern, ease of bracing, and reduced pelvic obliquity were noted. Active function about the hips was not improved, nor was there a decrease in the amount of bracing needed following the osteotomy. Pelvic displacement osteotomy can be utilized in selected cases as part of the over-all management of chronic hip dislocation in myelodysplasia.
D000293:Adolescent; D001915:Braces; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000601:surgery*; D008297:Male; D009132:Muscles / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D010384:Pelvic Bones / Q000000981:diagnostic imaging; D011182:Postoperative Care; D011300:Preoperative Care; D011859:Radiography; D016135:Spinal Dysraphism / Q000150:complications*