%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 }