title: Treatment of neuromuscular scoliosis with posterior spinal fusion using the Galveston technique: a retrospective review and results of 62 patients.
abstract: Historically, the operative treatment of neuromuscular scoliosis has been associated with a high rate of complication. Recent literature has shown a decreased rate of complication (less 50%) in the management of neuromuscular scoliosis with spinal arthrodesis techniques. A retrospective chart and radiographic review of 62 spinal fusions for neuromuscular scoliosis was performed. There were 53 posterior spinal fusions and 9 anteroposterior spinal fusions. The Galveston technique was used in all patients. The average age at surgery was 13 years 7 months, with an average follow-up of 23 months (minimum 10 months). The mean preoperative and postoperative curve magnitudes were 66 degree and 31 degree, respectively. There were 20 minor complications and 5 major complications in 20 patients. There were no neurologic complications or deaths.
authors.affiliation: Medical College of Georgia, Department of Surgery, Division of Orthopaedics, Augusta, Georgia 30912-4030, USA. bredward@mail.mcg.edu
authors.forename: Bryan T
authors.initials: BT
authors.lastname: Edwards
authors.forename: Robert
authors.initials: R
authors.lastname: Zura
authors.forename: Styles
authors.initials: S
authors.lastname: Bertrand
authors.forename: Sharon
authors.initials: S
authors.lastname: Leonard
authors.forename: Jonathan
authors.initials: J
authors.lastname: Pellett
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008297:Male; D009468:Neuromuscular Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D012600:Scoliosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012720:Severity of Illness Index; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome