Document Detail


Management of neuromuscular spinal deformities with Luque segmental instrumentation.
MedLine Citation:
PMID:  2703515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-six patients who had a neuromuscular spinal deformity were treated with arthrodesis and Luque segmental spinal instrumentation and were followed for an average of three years. Twenty-two patients had cerebral palsy and twenty-four had another neuromuscular disease. In thirty-nine patients, the arthrodesis was extended to the sacrum. Eleven patients who had severe scoliosis as well as pelvic obliquity and decompensation of the torso had a combined anterior and posterior arthrodesis; the other thirty-five patients had a one-stage posterior procedure. Preoperatively, the average scoliosis was 74 degrees; this was corrected to 39 degrees at follow-up. Final corrections were similar for scoliosis and were better for pelvic obliquity and decompensation of the torso in patients who had combined anterior and posterior arthrodesis. The results for scoliosis and pelvic obliquity in patients who had a spastic deformity were similar to the results in patients who had a flaccid deformity. Correction of decompensation of the torso was better in patients who had a spastic deformity. Postoperatively, a brace was used in half of the patients in each group; this did not appear to affect the amount of correction in either group, although the result may have been influenced by the selection process. The rate of complications was 48 per cent. Pseudarthrosis occurred in three patients (6.5 per cent). There were no major neurological deficits related to the correction or to the use of sublaminar wires. Three patients died, one in the immediate postoperative period and the other two at eighteen months and four years after the original procedure, due to causes unrelated to the operation.
Authors:
O Boachie-Adjei; J E Lonstein; R B Winter; S Koop; K vanden Brink; F Denis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  71     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-05-18     Completed Date:  1989-05-18     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  548-62     Citation Subset:  AIM; IM    
Affiliation:
St. Paul Hospital, Minneapolis.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Female
Humans
Kyphosis / etiology,  radiography,  surgery
Lordosis / etiology,  radiography,  surgery
Male
Middle Aged
Muscle Spasticity / complications
Neuromuscular Diseases / complications*
Orthopedic Fixation Devices*
Postoperative Complications
Pseudarthrosis / etiology
Scoliosis / etiology,  radiography,  surgery
Spinal Fusion
Spine / abnormalities,  radiography,  surgery*
Surgical Wound Infection

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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