[Treatment of post-poliomyelitis paralytic scoliosis of more than 80 by skeletal traction followed by posterior vertebral arthrodesis fixed with Luque's segmental spinal device].
We present 45 consecutive cases of post-poliomyelitic paralytic scoliosis, with an angle ranging from 90 degrees to 145 degrees (mean 117 degrees), seen in subjects aged between 12 and 16 years, and treated by arthrodesis using a Luque-type segmental spinal apparatus with, in the cases showing an oblique pelvis, anchoring to the pelvis using the Galveston technique. Post-operative contention was not performed. Neurological complications were not seen in any patient. There were no cases of rupture of either rods or wires. The loss of correction at one year was between 5 and 10 degrees. The technique was shown to be effective when obliqueness of the pelvis was not present. In rigid forms, with an oblique pelvis, a circumferential arthrodesis is indicated provided that a rigid apparatus has not previously been inserted thereby preventing supplementary correction via the posterior route.
Lacheretz
M
M
Kabbaj
K
K
D000293:Adolescent; D001174:Arthrodesis; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D011051:Poliomyelitis / Q000150:complications; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014143:Traction
Traitement des scolioses paralytiques post-poliomyélitiques de plus de 80 degrees par traction squelettique, puis arthrodèse vertébrale postérieure fixée par instrumentation spinale segmentaire selon Luque.