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Effect of pelvic fixation on ambulation in children with neuromuscular scoliosis

World Journal of Orthopedics 2022年第8期13卷 753-759页

作者： Luke Drake hamdi sukkarieh Tyler McDonald Eldrin Bhanat Elisa Quince Myles Atkins Patrick Wright Jaysson Brooks Department of Orthopaedic Surgery University of Mississippi Medical CenterJacksonMI 39110United States Department of Orthopaedic Surgery University of South AlabamaMobileAL 36608United States School of Medicine William Carey College of MedicineHattiesburgMI 39401United States School of Medicine Morehouse School of MedicineAtlantaGE 30310United States Department of Orthopaedic Surgery UT-SouthwesternDallasTX 75219United States

BACKGROUND The effect of posterior spinal fusion(PSF)incorporating the pelvis on an ambulatory patient’s ability to mobilize after the fusion is not well *** To see whether a posterior spinal fusion with pelvic fixation using iliac or sacral alar iliac screws in ambulatory neuromuscular scoliosis(NMS)patients influences postoperative ambulatory *** A retrospective review of all patients with NMS that underwent PSF with fixation incorporating the pelvis between January 1,2012 and February 29,2019.A total of 118 patients were eligible,including 11 ambulatory *** primary outcome was the maintenance of ambulatory status *** outcomes included postoperative curve magnitude,pelvic obliquity,and complications,comprising infections,instrumentation failure,and any unplanned returns to the operative *** The ambulatory function was maintained in all 11 ambulatory NMS *** patient had an improvement in functional status with equipment-free ambulation *** average postoperative follow-up was 19 *** overall complication rate was 19.4%(n=23)with no significant differences between the groups in infection(P=0.365),hardware failure(P=0.505),and reoperation rate(P=1.0).Ambulatory status did not affect complication rate(P=0.967).CONCLUSION Spinal fusion to the pelvis in ambulatory patients with NMS provides effective deformity correction without the reduction in ambulatory capabilities.

关键词： Pelvic fixation Ambulation Neuromuscular scoliosis Pediatrics Posterior spinal fusion Pelvis

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