With 91% survivorship at 7 years, microfracture/HTO seems to contribute to a delay of knee replacement in active patients with varus gonarthrosis. Patients who proceeded to knee arthroplasty after combined HTO/microfracture had a mean delay of 81.3 months.
It is concluded that scoliosis with associated severe pelvic obliquity deformities can be treated with anterior and posterior spinal fusion and instrumentation with intraoperative halo-femoral traction in the properly selected and prepared patient with cerebral palsy.
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