Abstract
Ninety-eight percent of skeletally immature patients with spinal cord injury (SCI) suffer from progressive neuromuscular scoliosis (NMS). Operative treatment has typically been limited to posterior spinal fusion (PSF), but a newer technique as described may be less invasive and preserve more function. A PSF of the entire spine to the pelvis is standard of care. However, maintenance of spinal flexibility, motion, and potential growth is desirable. We present a case for proof-of-concept of utilizing a surgical motion-preserving technique to treat progressive NMS in an 11year-old girl with T10 level (AIS B) paraplegia with a progressive 60° NMS of the lumbar spine. She had anterior scoliosis correction (ASC) from T11-L5 without fusion. Over 24 months, the curve growth-modulated to a residual of 12° with continued modulation to 7° at 3-year follow-up (skeletal maturity).
Original language | English |
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Pages (from-to) | 150-156 |
Number of pages | 7 |
Journal | Topics in Spinal Cord Injury Rehabilitation |
Volume | 25 |
Issue number | 2 |
DOIs | |
State | Published - Mar 2019 |
Externally published | Yes |
Keywords
- Anterior scoliosis correction
- Neuromuscular scoliosis
- Posterior spinal fusion
- Spinal cord injury