title: Long scoliosis fusion to the sacrum in adults with nonparalytic scoliosis. An improved method.
abstract: The first 17 adults with nonparalytic scoliosis having long fusion to the sacrum treated with the Luque-Galveston technique were reviewed. There were 3 men and 14 women. Their average age at the time of surgery was 47 years and the mean follow-up period was 42 months. There were no neurologic complications and no patient developed significant loss of lumbar lordosis. Fusion occurred in 88% of patients. Two patients developed pseudarthrosis, neither of whom had anterior fusion at the level of pseudarthrosis. The best results occurred in patients who had two-stage procedures, with initial anterior lumbar fusion to the sacrum without instrumentation followed by posterior segmental instrumentation with the Galveston technique of fixation to the pelvis.
authors.affiliation: Arkansas Spine Center, Little Rock.
authors.forename: E H
authors.initials: EH
authors.lastname: Saer
authors.forename: R B
authors.initials: RB
authors.lastname: Winter
authors.forename: J E
authors.initials: JE
authors.lastname: Lonstein
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D012447:Sacrum / Q000601:surgery*; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013904:Thoracic Vertebrae / Q000601:surgery; D013997:Time Factors