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Pelvic fixation for neuromuscular scoliosis deformity correction

  • Romain Dayer
  • Jean Albert Ouellet
  • Neil SaranEmail author
Pediatrics (M Glotzbecker, Section Editor)

Abstract

Pelvic fixation is most frequently indicated in the pediatric population for the treatment of neuromuscular scoliosis with significant pelvic obliquity. Neuromuscular scoliosis surgery is associated with a high risk of complications, and this is further increased by extension of fusion to the sacrum. Numerous techniques have been described for pelvic fixation associated with a long spine fusion each with its own set of specific benefits and risks. This article reviews the contemporary surgical techniques of pelvic fixation used to extend a spine fusion to the sacrum and pelvis focusing on the management of neuromuscular scoliosis, including their biomechanical rationale, results, and complications.

Keywords

Pediatrics Pelvic fixation Scoliosis surgery Neuromuscular scoliosis Pelvic obliquity Lumbosacral fusion Sacropelvic unit Galveston technique Iliac screws Iliosacral screws Maximum width (MW) construct Jackson intrasacral rod fixation S-rods Dunn McCarthy technique Sacral alar screws S2 Iliac screws Transiliac fixation Sacral bar 

Notes

Acknowledgement

The authors thank Guylaine Bedard from Shriners Hospital for the illustrations and Dr. Juan Sebastian Rendon for editorial assistance.

Disclosure

No conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Romain Dayer
    • 1
  • Jean Albert Ouellet
    • 2
  • Neil Saran
    • 2
    Email author
  1. 1.Division of Pediatric Orthopaedics, Child and Adolescent DepartmentUniversity Hospitals of GenevaGenève 14Switzerland
  2. 2.Department of OrthopaedicsShriners Hospital for Children-CanadaMontrealCanada

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