title: Minimally invasive, iliac crest-sparing approach for pelvic osteotomies in children.
abstract: The aim of this article is to describe a minimally invasive iliac crest-sparing approach (ICSA) allowing common iliac osteotomies in children. The ICSA was used for 98 hips in 72 consecutive patients who underwent a pelvic osteotomy. The mean follow-up duration ranged from 3 to 7 years. Skin incision ranged from 3 to 5.5 cm. Displacement of the distal osteotomy fragment was easy and without tension. The duration of surgery varied from 50 min in the beginning of our experience to 20-25 min for the last cases of the series. In conclusion, the ICSA fulfills all the criteria of minimally invasive surgery.
authors.affiliation: Department of Orthopedic Surgery, Hotel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
authors.forename: Ismat
authors.initials: I
authors.lastname: Ghanem
authors.forename: Amer
authors.initials: A
authors.lastname: Sebaaly
authors.forename: Nakhle
authors.initials: N
authors.lastname: Pedro
authors.forename: Elie
authors.initials: E
authors.lastname: Saliba
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging / Q000601:surgery*; D006617:Hip Dislocation / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000601:surgery*; D007223:Infant; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D000070799:Open Fracture Reduction / Q000009:adverse effects / Q000379:methods*; D059351:Organ Sparing Treatments; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010149:Postoperative Pain; D011446:Prospective Studies; D011859:Radiography