Posterior spinal fusion in paralytic scoliosis and myelomeningocele.

Autor: Banit DM; Shriners Hospital, Lexington, Kentucky 40502-1298, USA., Iwinski HJ Jr, Talwalkar V, Johnson M
Jazyk: angličtina
Zdroj: Journal of pediatric orthopedics [J Pediatr Orthop] 2001 Jan-Feb; Vol. 21 (1), pp. 117-25.
DOI: 10.1097/00004694-200101000-00023
Abstrakt: The Shriners Hospital, Lexington, KY, experience with posterior spinal fusion for scoliosis in 50 patients with myelomeningocele was reviewed. Six patients were fused with Harrington rods and 47 of 50 patients were treated with some form of segmental fixation. The complication rate was 48% (24/50) resulting in 1.48 procedures per patient. The deep infection rate was 8% (4/50) and the pseudarthrosis rate was 16% (8/50). The use of modern segmental instrumentation systems has improved the pseudarthrosis rates for posterior spinal fusion in scoliosis associated with myelomeningocele but not to the point of displacing the current approach of an anterior and posterior spinal fusion.
Databáze: MEDLINE