SSI AND GALVESTONE METHOD IN THE TREATMENT OF NEUROMUSCULAR SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 1990, Vol 1, Issue 1
Abstract
In severe neuromuscular scoliosis, surgery is the definitive treatment. Most of these patients may be managed by posterior approach alone and SSI is the treatment of choice. Some of these patients will require fusion to the pelvis. If pelvic fusion is necessary we prefere to use Galveslone method which described by Allen and Ferguson. Between 1986-1989 we treated five neuromuscular scoliosis using these methods. Four of the patients were the sequelae of polio and one of the patients had, Kugelber Willander disease. In one patient with neuromuscular scolisosis due to polio, we applied anterior release and Webb Morley anterior instrumentation system as the first stage and then SSI was applied as the second stage. Remaining four patients were treated by posterior approach alone. The post-operative mean correction was calculated as 32° using the Cobb's method. In two patients who had severe pelvic tilt Galveslone method was applied, to correct the pelvic till also. Four of our patients were not able to walk before the operation, three of them are now able to walk with the help of crutches. SSI and when required Galvestone modification are the treatment of choice of Neuromuscular Scoliosis in our experience.
Authors and Affiliations
N. Bilsel, M. Hız,, I. Akgün, T. Centel
Keywords
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