[Surgical treatment of scoliosis in bed-ridden patients with cerebral palsy].
Thirty-two scoliosis in total body involved children with cerebral palsy (CP) were reviewed. Mean preoperative angle was 13. Average follow-up was four years. Surgery included a single posterior (11 cases) or anterior (3 cases) approach and a double stage anterior and posterior procedure in 18 cases. Fusion was extended to the sacrum in 15 cases. Complications were numerous: 3 deaths, 15 postoperative complications in 10 patients. Most of them were septic and cutaneous. Cobb angle was 78 degrees before surgery, 28 degrees after surgery and 32 degrees at follow-up. Functional status was improved in most of cases. Pain disappeared in 2/3 of cases. Sitting position was acquired in all cases at follow-up; motor possibilities were improved in 1/4 of cases; associated medical pathologies (mainly respiratory) were reduced in 2/3 of cases.
Onimus
M
M
Service de Chirurgie des Scolioses, Hôpital Saint-Jacques, Besançon.
Manzone
P
P
Lornet
J M
JM
Laurain
J M
JM
D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011183:Postoperative Complications; D011782:Quadriplegia / Q000601:surgery; D011788:Quality of Life; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*
Le traitement chirurgical des scolioses de l'IMC grabataire.