SIMULTANEOUS CORRECTION OF PELVIC OBLIQUITY, FRONTAL PLANE, AND SAGITTAL PLANE DEFORMITIES IN NEUROMUSCULAR SCOLIOSIS USING A UNIT ROD WITH SEGMENTAL SUBLAMINAR WIRES - A PRELIMINARY-REPORT

被引:52
作者
MALONEY, WJ [1 ]
RINSKY, LA [1 ]
GAMBLE, JG [1 ]
机构
[1] CHILDRENS HOSP STANFORD,520 SAND HILL RD,PALO ALTO,CA 94304
关键词
Luque rod; Pelvic obliquity; Surgery; Neuromuscular scoliosis;
D O I
10.1097/01241398-199011000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Ten patients with neuromuscular scoliosis and pelvic obliquity had segmental spinal instrumentation using a unit Luque rod with sublaminar wires and fixation into the pelvis. Nine of the 10 patients also had anterior spinal fusion without instrumentation before the posterior procedure. Average preoperative pelvic obliquity was 42° which was corrected to 6° (82% correction). Average preoperative scoliosis was 92°, which was corrected to 16° (81% correction). Complications included a wound hematoma in one patient and a superficial wound dehiscence in another. There have been no pseudarthroses or hardware failures to date. Excellent correction of the pelvic obliquity and the spinal curve in neuromuscular scoliosis can be obtained with use of a unit rod and without use of anterior instrumentation. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:742 / 749
页数:8
相关论文
共 17 条
[1]  
Allen B.L., Ferguson R.L., The Galveston technique for L-rod instrumentation of the scoliotic spine, Spine, 7, pp. 276-284, (1982)
[2]  
Bell D.F., Moseley C.F., Koreska J., Unit rod segmental spinal instrumentation in the management of patients with progressive neuromuscular spinal deformity, Spine, 14, pp. 1301-1307, (1989)
[3]  
Bonnett C., Brown J.C., Perry J., Nickel V.L., Walinski T., Brooks R., Evolution of treatment of paralytic scoliosis at Ranchos Los Amigos Hospital, J Bone Joint [Am], 57, pp. 206-215, (1975)
[4]  
Dwyer A.P., A fatal complication of paravertebral infection and traumatic aneurysm following Dwyer instrumentation, J Bone Joint Surg [Br], 61, (1979)
[5]  
Dwyer A.P., Experience of anterior correction of the spine, Clin Orthop, 93, pp. 191-206, (1973)
[6]  
Ferguson R.L., Allen A.L., Staged correction of neuromuscular scoliosis, J Pediatr Orthop, 3, pp. 555-562, (1983)
[7]  
Floman Y., Michel L., Penny J.N., Riseborough E.J., Hall J.E., Combined anterior and posterior fusion in seventy-three spi-nally deformed patients: Indications, results and complications, Clin Orthop, 164, pp. 110-122, (1982)
[8]  
Gersoff W.K., Renshaw T.S., The treatment of scoliosis in cerebral palsy by posterior spinal fusion with Luque-rod segmental instrumentation, J Bone Joint Surg [Am], 70, (1988)
[9]  
Hall J.E., Dwyer instrumentation in anterior fusion of the spine, J Bone Joint Surg [Am], 63, pp. 1188-1190, (1981)
[10]  
Mayer P.J., Dove J., Ditmanson M., Shen Y.-S., Post-polio paralytic scoliosis: A review of curve patterns and results of surgical treatments in 118 consecutive patients, Spine, 6, pp. 573-582, (1981)