[Surgical treatment of spinal deformity due to cerebral motor disorders using a Luque type appliance].
The authors report a series of 20 cerebral palsy patients with spine deformities who need a surgical treatment. The procedure is a posterior approach and a segmental spine instrumentation: Luque-Galvestone or Cotrel-Dubousset-Luque type. Vertebral bone-graft is always performed and sacral bone is fused 16 times. Sitting position is authorized 4 to 7 days after the operation. Improvement of frontal and sagital curves as well as pelvic obliquity is of 50% and remains unchanged with a two years follow-up. Among the complications, most of them are pulmonary infections with 2 severe cases on 9 patients. Even functional status is also improved, post-operative pains and social difficulties are frequent during almost 6 months.
Lascombes
P
P
Clinique Chirurgicale Infantile Orthopédique, Hôpital d'Enfants de Nancy, Vandoeuvre-les-Nancy.
Fabre
B
B
Fresler
F
F
Schweitzer
F
F
Prevot
J
J
D000203:Activities of Daily Living; D000293:Adolescent; D016025:Bone Transplantation; D002547:Cerebral Palsy / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D008297:Male; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation* / Q000379:methods / Q000534:rehabilitation
Traitement chirurgical des déformations rachidiennes chez l'infirme moteur d'origine cérébrale par instrumentation dérivée de Luque.