Evaluation of pelvic fixation in neuromuscular scoliosis: a retrospective study in 55 patients
- Authors
- Modi, Hitesh N.; Suh, Seung Woo; Song, Hae-Ryong; Yang, Jae Hyuk; Jajodia, Nirmal
- Issue Date
- 1월-2010
- Publisher
- SPRINGER
- Citation
- INTERNATIONAL ORTHOPAEDICS, v.34, no.1, pp.89 - 96
- Indexed
- SCIE
SCOPUS
- Journal Title
- INTERNATIONAL ORTHOPAEDICS
- Volume
- 34
- Number
- 1
- Start Page
- 89
- End Page
- 96
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/117258
- DOI
- 10.1007/s00264-008-0703-z
- ISSN
- 0341-2695
- Abstract
- 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 > 15A degrees; with pelvic fixation), group II (initial pelvic obliquity > 15A degrees; without pelvic fixation), and group III (initial pelvic obliquity < 15A 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 > 15A degrees require pelvic fixation to maintain the correction and balance over time while obliquity < 15A degrees does not require pelvic fixation.
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Collections - Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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