Effect of pelvic fixation on ambulation in children with neuromuscular scoliosis  

作　　者：Luke Drake Hamdi Sukkarieh Tyler McDonald Eldrin Bhanat Elisa Quince Myles Atkins Patrick Wright Jaysson Brooks 

机构地区：[1]Department of Orthopaedic Surgery,University of Mississippi Medical Center,Jackson,MI 39110,United States [2]Department of Orthopaedic Surgery,University of South Alabama,Mobile,AL 36608,United States [3]School of Medicine,William Carey College of Medicine,Hattiesburg,MI 39401,United States [4]School of Medicine,Morehouse School of Medicine,Atlanta,GE 30310,United States [5]Department of Orthopaedic Surgery,UT-Southwestern,Dallas,TX 75219,United States

出　　处：《World Journal of Orthopedics》2022年第8期753-759,共7页世界骨科杂志（英文版）

摘　　要：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 understood.AIM 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 ability.METHODS 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 patients.The primary outcome was the maintenance of ambulatory status postoperatively.Secondary outcomes included postoperative curve magnitude,pelvic obliquity,and complications,comprising infections,instrumentation failure,and any unplanned returns to the operative room.RESULTS The ambulatory function was maintained in all 11 ambulatory NMS patients.One patient had an improvement in functional status with equipment-free ambulation postoperatively.An average postoperative follow-up was 19 mo.The 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 

分 类 号：R726.8[医药卫生—儿科]