%0 Journal Article %1 Vialle2006 %A Vialle, Rapha?l %A Delecourt, Christophe %A Morin, Christian %D 2006 %J Spine %K Cerebral Palsy; Child, Preschool; Humans; Intraoperative Care; Pelvic Bones; Retrospective Studies; Scoliosis; Traction; Treatment Outcome %N 13 %P 1461--1466 %R 10.1097/01.brs.0000219874.46680.87 %T Surgical treatment of scoliosis with pelvic obliquity in cerebral palsy: the influence of intraoperative traction. %U http://dx.doi.org/10.1097/01.brs.0000219874.46680.87 %V 31 %X STUDY DESIGN: Continuous retrospective series. OBJECTIVES: To compare two techniques sequentially used for surgical correction of neuromuscular scoliosis with pelvic obliquity in children with cerebral palsy. SUMMARY OF BACKGROUND DATA: In nonwalking patients with cerebral palsy, scoliosis is frequently associated with pelvic obliquity. We compared intraoperative traction with no traction with instrumentation to the pelvis to correct pelvic obliquity. METHODS: The initial 59 patients had surgery in the knee-chest position with pelvic obliquity correction by posterior vertebral instrumentation distraction, rotation, and compression. The sequential 51 patients were placed prone and had asymmetric traction applied between a halo and the high pelvic side lower extremity with pelvic correction maneuvers done before posterior surgery and instrumentation. RESULTS: Anesthetic duration was longer in Group 1 because of complexity of the intraoperative correction maneuvers, which also produced less correction of scoliosis and pelvic obliquity compared with the asymmetric traction technique. At 8.6 years of follow-up, frontal and sagittal plane correction improved in all surviving patients. CONCLUSION: We think that intraoperative reduction by asymmetric traction is a reliable and safe technique to correct neuromuscular scoliosis and pelvic obliquity in nonwalking spastic quadriplegic patients.

@article{Vialle2006, abstract = {STUDY DESIGN: Continuous retrospective series. OBJECTIVES: To compare two techniques sequentially used for surgical correction of neuromuscular scoliosis with pelvic obliquity in children with cerebral palsy. SUMMARY OF BACKGROUND DATA: In nonwalking patients with cerebral palsy, scoliosis is frequently associated with pelvic obliquity. We compared intraoperative traction with no traction with instrumentation to the pelvis to correct pelvic obliquity. METHODS: The initial 59 patients had surgery in the knee-chest position with pelvic obliquity correction by posterior vertebral instrumentation distraction, rotation, and compression. The sequential 51 patients were placed prone and had asymmetric traction applied between a halo and the high pelvic side lower extremity with pelvic correction maneuvers done before posterior surgery and instrumentation. RESULTS: Anesthetic duration was longer in Group 1 because of complexity of the intraoperative correction maneuvers, which also produced less correction of scoliosis and pelvic obliquity compared with the asymmetric traction technique. At 8.6 years of follow-up, frontal and sagittal plane correction improved in all surviving patients. CONCLUSION: We think that intraoperative reduction by asymmetric traction is a reliable and safe technique to correct neuromuscular scoliosis and pelvic obliquity in nonwalking spastic quadriplegic patients.}, added-at = {2014-07-19T21:51:04.000+0200}, author = {Vialle, Rapha?l and Delecourt, Christophe and Morin, Christian}, biburl = {https://www.bibsonomy.org/bibtex/27dac1385071da6b43fe09ec5c4e6f242/ar0berts}, doi = {10.1097/01.brs.0000219874.46680.87}, groups = {public}, interhash = {87199f890249de461cbbec346148b514}, intrahash = {7dac1385071da6b43fe09ec5c4e6f242}, journal = {Spine}, keywords = {Cerebral Palsy; Child, Preschool; Humans; Intraoperative Care; Pelvic Bones; Retrospective Studies; Scoliosis; Traction; Treatment Outcome}, month = Jun, number = 13, pages = {1461--1466}, pii = {00007632-200606010-00011}, pmid = {16741455}, timestamp = {2014-07-19T21:51:04.000+0200}, title = {Surgical treatment of scoliosis with pelvic obliquity in cerebral palsy: the influence of intraoperative traction.}, url = {http://dx.doi.org/10.1097/01.brs.0000219874.46680.87}, username = {ar0berts}, volume = 31, year = 2006 }