Surgical treatment of scoliosis in myelomeningocele

Patrizio Parisini, Tiziana Greggi, Mario Di Silvestre, Federico Giardina, Georgios Bakaloudis

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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 languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Pages442-447
Number of pages6
Volume91
DOIs
Publication statusPublished - 2002
Event4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002 - Athens, Greece
Duration: May 24 2002May 27 2002

Other

Other4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002
CountryGreece
CityAthens
Period5/24/025/27/02

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Parisini, P., Greggi, T., Di Silvestre, M., Giardina, F., & Bakaloudis, G. (2002). Surgical treatment of scoliosis in myelomeningocele. In Studies in Health Technology and Informatics (Vol. 91, pp. 442-447) https://doi.org/10.3233/978-1-60750-935-6-442