Abstract
The high incidence and rapid progression of scoliosis in myelomeningocele make it one of the most disabling aspects of such disease. The choice of the surgical procedure to treat scoliosis in myelomeningocele is related to the peculiar features of this deformity. The purpose of this study is to review the results obtained by means of various surgical techniques and verify if posterior fusion with pedicle screws can improve results as compared to the single posterior approach. Patients were classified into three groups defined by treatment approach. The single posterior approach following either the Harrington or the Harrington-Luque technique yielded the least satisfactory results. The two-stage anterior-posterior spinal fusion provided good correction and stability. Correction and instrumented fusion through a single posterior approach with segmental fixation by means of pedicle screws proved to be valid and reliable, even when severe deformities had to be corrected and fused. In these latter cases pelvic fixation using ilio-sacral plates also made it possible to correct and stabilize pelvic obliquity.
| Original language | English |
|---|---|
| Title of host publication | Studies in Health Technology and Informatics |
| Pages | 442-447 |
| Number of pages | 6 |
| Volume | 91 |
| DOIs | |
| Publication status | Published - 2002 |
| Event | 4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002 - Athens, Greece Duration: May 24 2002 → May 27 2002 |
Other
| Other | 4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002 |
|---|---|
| Country | Greece |
| City | Athens |
| Period | 5/24/02 → 5/27/02 |
Fingerprint
ASJC Scopus subject areas
- Biomedical Engineering
- Health Informatics
- Health Information Management
Cite this
Surgical treatment of scoliosis in myelomeningocele. / Parisini, Patrizio; Greggi, Tiziana; Di Silvestre, Mario; Giardina, Federico; Bakaloudis, Georgios.
Studies in Health Technology and Informatics. Vol. 91 2002. p. 442-447.Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
}
TY - GEN
T1 - Surgical treatment of scoliosis in myelomeningocele
AU - Parisini, Patrizio
AU - Greggi, Tiziana
AU - Di Silvestre, Mario
AU - Giardina, Federico
AU - Bakaloudis, Georgios
PY - 2002
Y1 - 2002
N2 - The high incidence and rapid progression of scoliosis in myelomeningocele make it one of the most disabling aspects of such disease. The choice of the surgical procedure to treat scoliosis in myelomeningocele is related to the peculiar features of this deformity. The purpose of this study is to review the results obtained by means of various surgical techniques and verify if posterior fusion with pedicle screws can improve results as compared to the single posterior approach. Patients were classified into three groups defined by treatment approach. The single posterior approach following either the Harrington or the Harrington-Luque technique yielded the least satisfactory results. The two-stage anterior-posterior spinal fusion provided good correction and stability. Correction and instrumented fusion through a single posterior approach with segmental fixation by means of pedicle screws proved to be valid and reliable, even when severe deformities had to be corrected and fused. In these latter cases pelvic fixation using ilio-sacral plates also made it possible to correct and stabilize pelvic obliquity.
AB - The high incidence and rapid progression of scoliosis in myelomeningocele make it one of the most disabling aspects of such disease. The choice of the surgical procedure to treat scoliosis in myelomeningocele is related to the peculiar features of this deformity. The purpose of this study is to review the results obtained by means of various surgical techniques and verify if posterior fusion with pedicle screws can improve results as compared to the single posterior approach. Patients were classified into three groups defined by treatment approach. The single posterior approach following either the Harrington or the Harrington-Luque technique yielded the least satisfactory results. The two-stage anterior-posterior spinal fusion provided good correction and stability. Correction and instrumented fusion through a single posterior approach with segmental fixation by means of pedicle screws proved to be valid and reliable, even when severe deformities had to be corrected and fused. In these latter cases pelvic fixation using ilio-sacral plates also made it possible to correct and stabilize pelvic obliquity.
UR - http://www.scopus.com/inward/record.url?scp=16544393027&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=16544393027&partnerID=8YFLogxK
U2 - 10.3233/978-1-60750-935-6-442
DO - 10.3233/978-1-60750-935-6-442
M3 - Conference contribution
C2 - 2004200463
AN - SCOPUS:16544393027
SN - 1586032895
SN - 9781586032890
VL - 91
SP - 442
EP - 447
BT - Studies in Health Technology and Informatics
ER -