title: Percutaneous pelvic osteotomy in non-ambulatory cerebral palsy patients.
abstract: The aim of this study was to describe the surgical technique of and indications for percutaneous pelvic osteotomy in patients with severe cerebral palsy. Forty non-ambulatory children and adolescents (47 hips) were consecutively treated with percutaneous pelvic osteotomy. The mean preoperative Reimers' migration percentage improved from 66.2% to 4.9% at the final follow-up. The mean preoperative acetabular angle (AA) improved from 32.4° to 13.2° at last follow-up. Percutaneous pelvic osteotomy is a less invasive surgical approach and appears to be a valid option with similar outcomes to standard techniques.This method results in less muscle stripping and blood loss and a shorter operating time.
authors.affiliation: Service de chirurgie infantile, centre hospitalier universitaire Estaing, 1, place Lucie et Raymond Aubrac, 63003 Clermont-Ferrand, France. Electronic address: canavese_federico@yahoo.fr.
authors.forename: F
authors.initials: F
authors.lastname: Canavese
authors.affiliation: Service de chirurgie orthopédique pédiatrique, hôpitaux universitaires de Genève, 1, rue Willy Donzé, Genève, Switzerland.
authors.forename: G
authors.initials: G
authors.lastname: De Coulon
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography
keywords: Cerebral palsy; Dislocation; Dysplasia; Hip; Percutaneous pelvic osteotomy