Shoulder Arthrodesis for Treatment of Flail Shoulder in Children With Polio

Abstract

Level III-Retrospective Comparative Study.

Pulsed Radiofrequency of Dorsal Root Ganglia for the Treatment of Complex Regional Pain Syndrome in an Adolescent with Poliomyelitis Sequel: A Case Report

“…Sensory stimulations are used to place the PRF probe sufficiently close to the DRG. Polio paralysis is caused by the damage or destruction of motor neurons in the spinal cord, which leads to corresponding muscle paralysis . The dorsal roots are intact in patients with poliomyelitis, and sensory stimulation tests were applied successfully in our case.…”

Clinical & Surgical Outcomes of Shoulder Arthrodesis: A Cohort of Seven Cases from the South Metropolitan Health Service of Western Australia

“…Despite high complication rates, cohorts generally have good outcomes. All patients in Miller's cohort were satisfied at the final follow-up with minimal pain [14]. In Chammas cohort, 26 of 27 had improved satisfaction and all had gone on to union [15].…”

“…29% of patients' required further surgery for infection and non-union. Numerous other cohorts in the literature report similarly high rates of complications [5,7,11,14,15].…”

“…Most cohorts report a high incidence of complications and return to theatre. Miller, et al reviewed outcomes of 11 children suffering polio who underwent shoulder arthrodesis for flail shoulder [14]. At a mean follow-up of 41 months, one patient had required revision surgery for non-union, two required corrective osteotomies, and six patients had metalwork removed due to discomfort.…”

Polio revisited: Reviving knowledge and skills to meet the challenge of resurgence

“…Shoulder arthrodesis is an option if the scapulo-thoracic muscles are functioning normally; it is recommended in children after the age of 7 years when there is complete paralysis of the deltoid. Significant improvement in function has been noted following this procedure [ 31 – 33 ] (Fig. 11 ).…”