Evaluation of pelvic fixation in neuromuscular scoliosis: a retrospective study in 55 patients.
The literature has described different indications for pelvic fixation in neuromuscular scoliosis. We retrospectively evaluated changes in pelvic obliquity for a minimum of two years among three groups: group I (initial pelvic obliquity >15 degrees; with pelvic fixation), group II (initial pelvic obliquity >15 degrees; without pelvic fixation), and group III (initial pelvic obliquity <15 degrees; without pelvic fixation). We used iliac screws for pelvic fixation in group I. There was significant postoperative improvement (p < 0.0001) in Cobb's angle and pelvic obliquity. There was no significant loss of correction in Cobb's angle, thoracic kyphosis, and lumbar lordosis among all three groups; however, group II showed significant correction loss in pelvic obliquity compared to groups I and III at final follow-up (p < 0.0001). Our results indicate that patients who have pelvic obliquity >15 degrees require pelvic fixation to maintain the correction and balance over time while obliquity <15 degrees does not require pelvic fixation.
Modi
Hitesh N
HN
Department of Orthopedics, Scoliosis Research Institute, Korea University Guro Hospital, Guro-Gu, Seoul 152-703, Korea.
Suh
Seung Woo
SW
Song
Hae-Ryong
HR
Yang
Jae Hyuk
JH
Jajodia
Nirmal
N
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D002547:Cerebral Palsy / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009134:Muscular Atrophy, Spinal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D020388:Muscular Dystrophy, Duchenne / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010388:Pelvis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult