STUDY DESIGN: Outcomes are retrospectively compared for patients with neuromuscular scoliosis after instrumented surgery and fusion to the pelvis versus lumbar 5 fusion alone. OBJECTIVES: To compare outcomes for patients with neuromuscular scoliosis for correction of scoliosis, lumbar 5 tilt, and pelvic obliquity after instrumented surgery and pelvic fusion, and by fusion only to lumbar 5. SUMMARY OF BACKGROUND DATA: Correction of scoliosis and pelvic obliquity in neuromuscular disease using spinal instrumentation is an accepted surgical procedure. Controversy remains concerning the caudal extent of fusion and instrumentation to lumbar 5 or to the sacrum. METHODS: Patients with progressive neuromuscular scoliosis underwent spinal fusion with segmental instrumentation using a U-rod terminating in pedicle screw fixation at L5. Similar patients underwent spinal fusion with a unit rod and sacral fusion. RESULTS: From 1998 to 2002, 55 patients with neuromuscular scoliosis underwent instrumentation and L5 fusion with the U-rod or to the sacrum with the unit rod. Initial and long-term corrections of scoliosis and pelvic obliquity were similar in both groups. CONCLUSIONS: Instrumentation and fusion to L5 is a less technically difficult procedure, requires less surgical time, has decreased blood loss, and less risk of infection compared to instrumented pelvic fusion. Postoperative and long-term follow-up indicates that L5 fusion can correct scoliosis and pelvic obliquity, comparable to results of sacrum fusion.
%0 Journal Article
%1 McCall2005
%A McCall, Richard E
%A Hayes, Beth
%D 2005
%J Spine
%K Adolescent; Blood Loss, Surgical; Bone Nails; Screws; Cerebral Palsy; Child; Female; Follow-Up Studies; Humans; Internal Fixators; Lumbar Vertebrae; Male; Neuromuscular Diseases; Pelvic Bones; Retrospective Sacrum; Scoliosis; Spinal Fusion; Time Factors; Treatment Outcome
%N 18
%P 2056--2060
%T Long-term outcome in neuromuscular scoliosis fused only to lumbar 5.
%V 30
%X STUDY DESIGN: Outcomes are retrospectively compared for patients with neuromuscular scoliosis after instrumented surgery and fusion to the pelvis versus lumbar 5 fusion alone. OBJECTIVES: To compare outcomes for patients with neuromuscular scoliosis for correction of scoliosis, lumbar 5 tilt, and pelvic obliquity after instrumented surgery and pelvic fusion, and by fusion only to lumbar 5. SUMMARY OF BACKGROUND DATA: Correction of scoliosis and pelvic obliquity in neuromuscular disease using spinal instrumentation is an accepted surgical procedure. Controversy remains concerning the caudal extent of fusion and instrumentation to lumbar 5 or to the sacrum. METHODS: Patients with progressive neuromuscular scoliosis underwent spinal fusion with segmental instrumentation using a U-rod terminating in pedicle screw fixation at L5. Similar patients underwent spinal fusion with a unit rod and sacral fusion. RESULTS: From 1998 to 2002, 55 patients with neuromuscular scoliosis underwent instrumentation and L5 fusion with the U-rod or to the sacrum with the unit rod. Initial and long-term corrections of scoliosis and pelvic obliquity were similar in both groups. CONCLUSIONS: Instrumentation and fusion to L5 is a less technically difficult procedure, requires less surgical time, has decreased blood loss, and less risk of infection compared to instrumented pelvic fusion. Postoperative and long-term follow-up indicates that L5 fusion can correct scoliosis and pelvic obliquity, comparable to results of sacrum fusion.
@article{McCall2005,
abstract = {STUDY DESIGN: Outcomes are retrospectively compared for patients with neuromuscular scoliosis after instrumented surgery and fusion to the pelvis versus lumbar 5 fusion alone. OBJECTIVES: To compare outcomes for patients with neuromuscular scoliosis for correction of scoliosis, lumbar 5 tilt, and pelvic obliquity after instrumented surgery and pelvic fusion, and by fusion only to lumbar 5. SUMMARY OF BACKGROUND DATA: Correction of scoliosis and pelvic obliquity in neuromuscular disease using spinal instrumentation is an accepted surgical procedure. Controversy remains concerning the caudal extent of fusion and instrumentation to lumbar 5 or to the sacrum. METHODS: Patients with progressive neuromuscular scoliosis underwent spinal fusion with segmental instrumentation using a U-rod terminating in pedicle screw fixation at L5. Similar patients underwent spinal fusion with a unit rod and sacral fusion. RESULTS: From 1998 to 2002, 55 patients with neuromuscular scoliosis underwent instrumentation and L5 fusion with the U-rod or to the sacrum with the unit rod. Initial and long-term corrections of scoliosis and pelvic obliquity were similar in both groups. CONCLUSIONS: Instrumentation and fusion to L5 is a less technically difficult procedure, requires less surgical time, has decreased blood loss, and less risk of infection compared to instrumented pelvic fusion. Postoperative and long-term follow-up indicates that L5 fusion can correct scoliosis and pelvic obliquity, comparable to results of sacrum fusion.},
added-at = {2014-07-19T20:46:22.000+0200},
author = {McCall, Richard E and Hayes, Beth},
biburl = {https://www.bibsonomy.org/bibtex/2ba8638401ccda65f105ddc228dc6e448/ar0berts},
groups = {public},
interhash = {bee8a1b7d9fbd1a026f9742a15934d80},
intrahash = {ba8638401ccda65f105ddc228dc6e448},
journal = {Spine},
keywords = {Adolescent; Blood Loss, Surgical; Bone Nails; Screws; Cerebral Palsy; Child; Female; Follow-Up Studies; Humans; Internal Fixators; Lumbar Vertebrae; Male; Neuromuscular Diseases; Pelvic Bones; Retrospective Sacrum; Scoliosis; Spinal Fusion; Time Factors; Treatment Outcome},
month = Sep,
number = 18,
pages = {2056--2060},
pii = {00007632-200509150-00011},
pmid = {16166895},
timestamp = {2014-07-19T20:46:22.000+0200},
title = {Long-term outcome in neuromuscular scoliosis fused only to lumbar 5.},
username = {ar0berts},
volume = 30,
year = 2005
}