Segmental spinal instrumentation for neuromuscular spinal deformity.
Seventy-six consecutive surgical cases of paralytic neuromuscular spinal deformity were retrospectively analyzed. Posterior arthrodesis with segmental spinal stabilization with Luque L-rods, sometimes preceded by anterior release, was done in all cases. The infection rate of 14.5% was observed to be markedly higher in patients with myelodysplasia. Deep placement of the rods lateral to the spine and well beneath full-thickness skin is recommended to reduce the incidence of this complication.
Stevens
D B
DB
University of Kentucky College of Medicine, Lexington.
Beard
C
C
D000293:Adolescent; D000328:Adult; D002648:Child; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D009468:Neuromuscular Diseases / Q000150:complications*; D009984:Orthopedic Fixation Devices; D011859:Radiography; D012189:Retrospective Studies; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology