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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1999-4-7
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pubmed:abstractText |
Twenty-nine patients (mean age 12 years) with severe thoracolumbar and lumbar scoliosis due to myelomeningocele were treated by spinal fusion (7 by posterior arthrodesis with instrumentation, 3 by anterior arthrodesis with instrumentation, 19 by combined anterior and posterior fusion with instrumentation). Fusion was extended to the sacrum in 15 patients. Mean period of follow-up was 6.2 years. The average Cobb angle changes were as follows: thoracic and thoracolumbar curves preoperatively 86 degrees to 45 degrees at follow-up (the final average curve correction was 47%); lumbar curves preoperatively 97 degrees to 48 degrees at follow-up (the final average curve correction was 50%). Average pelvis obliquity changed from 26 degrees to 13 degrees at follow-up with an average correction of 49%. The combined anterior and posterior instrumentation and fusion gave the best correction of deformity (the final average thoracic and thoracolumbar curve correction was 55%; the final average lumbar curve correction was 61%). Independent of the method of stabilization, post-operative wound infection was a serious problem (24%). The combined fusion-instrumentation method reduced the rate of pseudoarthrosis to 14%.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0939-7248
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
22-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9926319-Child,
pubmed-meshheading:9926319-Female,
pubmed-meshheading:9926319-Follow-Up Studies,
pubmed-meshheading:9926319-Humans,
pubmed-meshheading:9926319-Lumbar Vertebrae,
pubmed-meshheading:9926319-Male,
pubmed-meshheading:9926319-Meningomyelocele,
pubmed-meshheading:9926319-Orthopedic Fixation Devices,
pubmed-meshheading:9926319-Postoperative Complications,
pubmed-meshheading:9926319-Scoliosis,
pubmed-meshheading:9926319-Spinal Fusion,
pubmed-meshheading:9926319-Thoracic Vertebrae,
pubmed-meshheading:9926319-Time Factors
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pubmed:year |
1998
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pubmed:articleTitle |
Surgical treatment of scoliosis associated with myelomeningocele.
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pubmed:affiliation |
Second Department of Orthopedic Surgery, Istituto G. Gaslini, Genoa, Italy.
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pubmed:publicationType |
Journal Article
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