title: Safety and efficacy of sublaminar bands and Ponte osteotomies in rigid deformity: preliminary results in a prospective series of 20 neuromuscular scoliosis patients.
abstract: This prospective cohort study investigated radiographic outcomes and complications over time in patients with rigid neuromuscular scoliosis treated with sublaminar bands and Ponte osteotomies. Twenty consecutive patients with neuromuscular scoliosis were treated with sublaminar bands in addition to Ponte osteotomies at and around the apex of the deformity and prospectively included. All curves were rigid, with less than 30% reduction on preoperative bending films. Cobb angle, pelvic obliquity, and shoulder obliquity were significantly corrected (P<0.01). Normal thoracic kyphosis was achieved for 85% of patients at the last follow-up. No intraoperative complications were observed. The association between Ponte osteotomies and sublaminar bands appears to be efficient for the management of rigid neuromuscular deformities in children and adolescents. No death and no permanent neurological impairment, as well as no sublaminar bands associated events were recorded.
authors.affiliation: aPediatric Orthopedic Department, University Hospital Estaing, Clermont-Ferrand bDepartment of Spine Surgery, University Hospital of Strasbourg and Federation of Translational Medicine (FMTS), Strasbourg cFaculty of Medicine, University of Montpellier and Department of Pediatric Orthopedic Surgery, Clinique St. Roch, Montpellier, France.
authors.forename: Federico
authors.initials: F
authors.lastname: Canavese
authors.forename: Yann Philippe
authors.initials: YP
authors.lastname: Charles
authors.forename: Antoine
authors.initials: A
authors.lastname: Samba
authors.forename: Alain
authors.initials: A
authors.lastname: Dimeglio
mesh_terms: D000293:Adolescent; D001863:Bone Screws; D002648:Child; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000601:surgery; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D010027:Osteotomy / Q000379:methods*; D061214:Patient Safety; D011446:Prospective Studies; D012600:Scoliosis / Q000473:pathology* / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D013904:Thoracic Vertebrae / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult