Open AccessWhen Should Instrumentation to the Pelvis be Considered in Minimally Ambulatory Adolescents With Neuromuscular Scoliosis?
Author(s) -
Diana G. Douleh,
Danielle Greig,
Rachel Thompson,
Sumeet Garg
Publication year - 2021
Publication title -
journal of pediatric orthopaedics/journal of pediatric orthopedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.318
H-Index - 96
eISSN - 1539-2570
pISSN - 0271-6798
DOI - 10.1097/bpo.0000000000001821
Subject(s) - medicine , pelvis , ambulatory , scoliosis , population , subluxation , balance (ability) , surgery , sitting , physical therapy , alternative medicine , environmental health , pathology
The goal of neuromuscular scoliosis (NMS) surgery is to improve sitting balance, facilitate daily care, and alleviate pain. In nonambulatory patients, where sitting balance is key, fusion to the pelvis is usually required. However, in minimally ambulatory patients, fusion to the pelvis remains controversial, and there is considerable practice variability in this patient population. The purpose of this study is to evaluate and summarize the available evidence regarding fusion constructs in minimally ambulatory patients with NMS and to provide expert opinion regarding when fusion to the pelvis should be considered.