Mendoza LOF, Garza SJF, Arellano Pérez-Vertti DR

Language: Spanish
References: 22
Page: 15-20
PDF size: 810.49 Kb.

ABSTRACT

We are reporting 20 patients with diagnosis of Cerebral Palsy Scoliosis, with pelvic oblicuity; there were surgically treated in the Orthopaedics Services at the University Hospital Monterrey, N.L., Mexico from January 1990 to July 1999.
The surgical Technique used was Luque-Galveston and postero lateral fusion, in all cases; but in 7 patients have a good balance.
Additional surgery was performed on four patients to provide bone graft.
The main complications were pseudoartrosis and loos of pelvic alignment.

REFERENCES

1. Allen, B.L., Ferguson, R.L.; The Galveston technique for L. Rod Instrumentation of the Scoliotic Spine. Spine, Volumen 7, Number 3; 1982, Pages 276-292.

2. Dwyer, A.S., Schafer, M.F.; Anterior Approach to Scoliosis; Results of Treatment in Fifty-One cases. J. Bone Joint Surg., 56B: 21, 1974.

3. Harrinton, P.R.: Treatment of Scoliosis; Correccition and Internal Fixation by Spine Instrumentation, J. Bone Joint Surg. 218, 1974.

4. Leatherman, K.D., and Dickson, R.; The Management of neuromuscular disorders. Philadephia. J.B. Lippincott Co., 193.

5. Lonstein, J.E. and Akabarina, B.A.; Operative treatment of spinal deformities in patients with cerebral palsy or mental retardation, J. Bone Joint Surg. 65l: 43, 1983.

6. Lonstein, J.E. and Renshaw, T.S., Neuromuscular spine deformities. AAOS Instructional Course Lectures. St. Louis, C.V. Mosby CO., 1987, P.285.

7. Luque E.R. Cassis, N., and Ramirez, G.; Segmental spinal instrumentation in the treatment of fractures of the thoracolumbar spine. spine, Volumen 7, Number 3, pages 312-317; 1982.

8. Luque E.R. The correction of postural curves of the spine, spine, Volumen 7, number 3, pages 270-275; 1982.

9. Luque, E.R.: Segmental spinal Instrumentation on the Treatment of paralytic scoliosis. orthop. Trans. 5: 409; 1981.

10. Luque, E.R. Segmental Spinal Instrumentation for Correction of Scoliosis, Clin. Orthop. 161: 192, 1982

11. Luque E.R. and Cardoso, A.: Segmental Correction of scoliosis winth Rigid Internal Fixation. Orthop. Trans. 1: 136,1977.

12. MacEwen, G.D.; Operative Treatment Of scoliosis in Cerebral Palsy, Reconstr. Surg. Traumatol. 13: 5,1972.

13. Madigan, R. And Wallance, L.: Scoliosis in the Institutionalized Cerebral Palsy Population. Spine 6: 583, 1981.

14. Mayer, Leo: Further Studies of fixation in paralytic Pelvic Obliquity. J. Bone and Joint Surg.: 18: 87-100, Jan 1936.

15. Moe, J.H.: The Management of Paralytic Scoliosis, South Med. H.50-1: 67, 1957.

16. Moe, J.H.: The Treatment of Scoliosis. Results in 196 Patients Treated by Cast Correction and Fusion. J. Bone Joint surg. 46A: 293,1964.

17. Nickel, V.L., Perry, J., Garret, A. and meppenstall, M.: The Halo. J. Bone Joint Surg. 51-A: 233, 1969.

18. O'Brien, J.P., Dwyer A.P. and Hodgson, A.R.: paralytic pelvic obliquity. J. Bone Joint Surg.: 57A: 626-131, Jul. 1975.

19. Perry, J.; Anterior and posterior osteotomy for severede deformity of the spine, 79-93. The American Orthopaedic Association, 1970.

20. Risser, J.C-: scoliosis past and present, J. Bone Joint Surg. 46: 167, 1964.

21. son, R.L. and Bechard, R.: scoliosis in cerebral palsy; incidence distribition of curve paterns natural history and thougths on etiology, curr, pract. orthop. surg.; 13, 1973.

22. Tamborino, J.M., Armbrust, N.E. and Moe, J.M.: harrington Instrumentation in correction of scoliosis. J. bone joint surg. 46-A: 293; 1964.