Cardoso MA, Sánchez DA, León PM

Language: Spanish
References: 14
Page: 128-133
PDF size: 107.43 Kb.

ABSTRACT

From July 1980 to July 2001 64 patients with progressive muscular dystrophy were subjected to spinal instrumentation at the Shriners Hospital for Crippled Children, Mexico City Unit. It consisted of two groups with the main criteria of inclusion: non ambulatory patients, spinal deformity, minimum vital capacity up to 30%. The first group had C2 to different instrumentation levels, with a mean follow up of 5 years (range 1 month-13 years). The second group included instrumentations from C2-S1 with a mean follow up of 2.47 years (range 1-7 years). Both groups were non ambulatory at 10 years. The age at surgery was 11.14 (5-17) in the first group and 10.73 in the second one. When the instrumentation were C2-S1, the spinal stability, kypholordotic equilibrium, minimum vital capacity obtained and respiratory tract infections decreased and the life conditions of the most of the patients were better and the capability for using wheel chair improved.

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