title: Operative treatment for hip subluxation in spinal muscular atrophy.
abstract: Subluxation of the hip is common in patients with intermediate spinal muscular atrophy. This retrospective study aimed to investigate the influence of surgery on pain and function, as well as the natural history of subluxed hips which were treated conservatively. Thirty patients were assessed clinically and radiologically. Of the nine who underwent surgery only one reported satisfaction and four had recurrent subluxation. Of the 21 patients who had no surgery, 18 had subluxation at the latest follow-up, but only one reported pain in the hip. We conclude that surgery for subluxation of the hip in these patients is not justified.
authors.affiliation: Booth Hall Children's Hospital, Charlestown Road, Blackley, Manchester M9 7AA, UK. m_zenios@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Zenios
authors.forename: J
authors.initials: J
authors.lastname: Sampath
authors.forename: C
authors.initials: C
authors.lastname: Cole
authors.forename: T
authors.initials: T
authors.lastname: Khan
authors.forename: C S B
authors.initials: CS
authors.lastname: Galasko
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009134:Muscular Atrophy, Spinal / Q000150:complications / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome