Evaluation of pelvic fixation in neuromuscular scoliosis: A retrospective study in 55 patients

Hitesh N. Modi, Seung-Woo Suh, Hae Ryong Song, Jae Hyuk Yang, Nirmal Jajodia

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Abstract

The literature has described different indications for pelvic fixation in neuromuscular scoliosis. We retrospectively evaluated changes in pelvic obliquity for a minimum of two years among three groups: group I (initial pelvic obliquity >15°; with pelvic fixation), group II (initial pelvic obliquity >15°; without pelvic fixation), and group III (initial pelvic obliquity <15°; without pelvic fixation). We used iliac screws for pelvic fixation in group I. There was significant postoperative improvement (p<0.0001) in Cobb's angle and pelvic obliquity. There was no significant loss of correction in Cobb's angle, thoracic kyphosis, and lumbar lordosis among all three groups; however, group II showed significant correction loss in pelvic obliquity compared to groups I and III at final follow-up (p<0.0001). Our results indicate that patients who have pelvic obliquity >15° require pelvic fixation to maintain the correction and balance over time while obliquity <15° does not require pelvic fixation.

Original languageEnglish
Pages (from-to)89-96
Number of pages8
JournalInternational Orthopaedics
Volume34
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

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Scoliosis
Retrospective Studies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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Evaluation of pelvic fixation in neuromuscular scoliosis : A retrospective study in 55 patients. / Modi, Hitesh N.; Suh, Seung-Woo; Song, Hae Ryong; Yang, Jae Hyuk; Jajodia, Nirmal.

In: International Orthopaedics, Vol. 34, No. 1, 01.01.2010, p. 89-96.

Research output: Contribution to journalArticle

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