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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22 Citations (Scopus)

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

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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