Analysis of Patients With Nonambulatory Neuromuscular Scoliosis Surgically Treated to the Pelvis With Intraoperative Halo-Femoral Traction

Abstract

Intraoperative use of halo-femoral traction during the surgical treatment of patients with nonambulatory neuromuscular scoliosis provided significantly improved lumbar curve and pelvic obliquity correction. Intraoperative halo-femoral traction had no associated perioperative complications.

Musculoskeletal Complications of Neuromuscular Disease in Children

“…Surgical considerations include anterior and posterior fusion versus posterior-only fusion, one-stage versus two-stage procedures, various instrumentation techniques, and the extension of instrumentation across the lumbosacral junction and sacroiliac joint [51,[64][65][66]. From a surgical perspective, best results are achieved when the curve is progressive but not severe or rigid and when medical status is optimal [67].…”

Comparison of Radiographic Outcomes for the Treatment of Scoliotic Curves Greater Than 100 Degrees

“…26 Ten patients had concomitant thoracoplasties for reduction of the rib hump deformity as previously described (1 patient in Group W, 5 in Group H, 4 in Group PS). 27 Four patients had vertebral column resection(s) (1 patient at T8 and 9, 1 at T9, and 2 at T10) (1 patient in Group H, 3 in Group PS).…”

Management of spinal cord injury–related scoliosis using pedicle screw–only constructs

“…Spinal cord injury-related scoliosis tends to appear in a small fraction of these series, with most patients having other types of neuromuscular scoliosis such as myelomeningoceles. 32,34,35 Although similar, these pathological entities may have subtle differences. Although the more rostral extent of neurological impairment in patients with myelomeningocele has been strongly correlated with the risk of scoliosis development, that association has not been consistently reproduced among patients with SCI.…”

“…16,21 Prior series have described surgical outcomes of SCIrelated scoliosis using earlier instrumentation designs, such as unit rods, wiring, hooks, and Luque rods, but the literature regarding surgical outcomes with more recent pedicle screw constructs is sparse and interspersed among series mostly describing neuromuscular scoliosis with various other etiologies. 3,4,16,19,29,32,[34][35][36][37][38][39] Although pedicle screw constructs have been associated with greater coronal and axial correction in adolescent idiopathic scoliosis, their impact on SCI-related scoliosis has not yet been described. 1,33 We investigated outcomes using pedicle screw-only constructs in treating SCI-related scoliosis.…”