STUDY DESIGN: Continuous retrospective series. OBJECTIVES: To compare two techniques sequentially used for surgical correction of neuromuscular scoliosis with pelvic obliquity in children with cerebral palsy. SUMMARY OF BACKGROUND DATA: In nonwalking patients with cerebral palsy, scoliosis is frequently associated with pelvic obliquity. We compared intraoperative traction with no traction with instrumentation to the pelvis to correct pelvic obliquity. METHODS: The initial 59 patients had surgery in the knee-chest position with pelvic obliquity correction by posterior vertebral instrumentation distraction, rotation, and compression. The sequential 51 patients were placed prone and had asymmetric traction applied between a halo and the high pelvic side lower extremity with pelvic correction maneuvers done before posterior surgery and instrumentation. RESULTS: Anesthetic duration was longer in Group 1 because of complexity of the intraoperative correction maneuvers, which also produced less correction of scoliosis and pelvic obliquity compared with the asymmetric traction technique. At 8.6 years of follow-up, frontal and sagittal plane correction improved in all surviving patients. CONCLUSION: We think that intraoperative reduction by asymmetric traction is a reliable and safe technique to correct neuromuscular scoliosis and pelvic obliquity in nonwalking spastic quadriplegic patients.
%0 Journal Article
%1 Vialle2006
%A Vialle, Rapha?l
%A Delecourt, Christophe
%A Morin, Christian
%D 2006
%J Spine
%K Cerebral Palsy; Child, Preschool; Humans; Intraoperative Care; Pelvic Bones; Retrospective Studies; Scoliosis; Traction; Treatment Outcome
%N 13
%P 1461--1466
%R 10.1097/01.brs.0000219874.46680.87
%T Surgical treatment of scoliosis with pelvic obliquity in cerebral palsy: the influence of intraoperative traction.
%U http://dx.doi.org/10.1097/01.brs.0000219874.46680.87
%V 31
%X STUDY DESIGN: Continuous retrospective series. OBJECTIVES: To compare two techniques sequentially used for surgical correction of neuromuscular scoliosis with pelvic obliquity in children with cerebral palsy. SUMMARY OF BACKGROUND DATA: In nonwalking patients with cerebral palsy, scoliosis is frequently associated with pelvic obliquity. We compared intraoperative traction with no traction with instrumentation to the pelvis to correct pelvic obliquity. METHODS: The initial 59 patients had surgery in the knee-chest position with pelvic obliquity correction by posterior vertebral instrumentation distraction, rotation, and compression. The sequential 51 patients were placed prone and had asymmetric traction applied between a halo and the high pelvic side lower extremity with pelvic correction maneuvers done before posterior surgery and instrumentation. RESULTS: Anesthetic duration was longer in Group 1 because of complexity of the intraoperative correction maneuvers, which also produced less correction of scoliosis and pelvic obliquity compared with the asymmetric traction technique. At 8.6 years of follow-up, frontal and sagittal plane correction improved in all surviving patients. CONCLUSION: We think that intraoperative reduction by asymmetric traction is a reliable and safe technique to correct neuromuscular scoliosis and pelvic obliquity in nonwalking spastic quadriplegic patients.
@article{Vialle2006,
abstract = {STUDY DESIGN: Continuous retrospective series. OBJECTIVES: To compare two techniques sequentially used for surgical correction of neuromuscular scoliosis with pelvic obliquity in children with cerebral palsy. SUMMARY OF BACKGROUND DATA: In nonwalking patients with cerebral palsy, scoliosis is frequently associated with pelvic obliquity. We compared intraoperative traction with no traction with instrumentation to the pelvis to correct pelvic obliquity. METHODS: The initial 59 patients had surgery in the knee-chest position with pelvic obliquity correction by posterior vertebral instrumentation distraction, rotation, and compression. The sequential 51 patients were placed prone and had asymmetric traction applied between a halo and the high pelvic side lower extremity with pelvic correction maneuvers done before posterior surgery and instrumentation. RESULTS: Anesthetic duration was longer in Group 1 because of complexity of the intraoperative correction maneuvers, which also produced less correction of scoliosis and pelvic obliquity compared with the asymmetric traction technique. At 8.6 years of follow-up, frontal and sagittal plane correction improved in all surviving patients. CONCLUSION: We think that intraoperative reduction by asymmetric traction is a reliable and safe technique to correct neuromuscular scoliosis and pelvic obliquity in nonwalking spastic quadriplegic patients.},
added-at = {2014-07-19T21:51:04.000+0200},
author = {Vialle, Rapha?l and Delecourt, Christophe and Morin, Christian},
biburl = {https://www.bibsonomy.org/bibtex/27dac1385071da6b43fe09ec5c4e6f242/ar0berts},
doi = {10.1097/01.brs.0000219874.46680.87},
groups = {public},
interhash = {87199f890249de461cbbec346148b514},
intrahash = {7dac1385071da6b43fe09ec5c4e6f242},
journal = {Spine},
keywords = {Cerebral Palsy; Child, Preschool; Humans; Intraoperative Care; Pelvic Bones; Retrospective Studies; Scoliosis; Traction; Treatment Outcome},
month = Jun,
number = 13,
pages = {1461--1466},
pii = {00007632-200606010-00011},
pmid = {16741455},
timestamp = {2014-07-19T21:51:04.000+0200},
title = {Surgical treatment of scoliosis with pelvic obliquity in cerebral palsy: the influence of intraoperative traction.},
url = {http://dx.doi.org/10.1097/01.brs.0000219874.46680.87},
username = {ar0berts},
volume = 31,
year = 2006
}