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SSI AND GALVESTON PROCEDURES FOR CORRECTION AND STABILIZATION OF NEUROMUSCULAR SCOLIOSIS

  • Nafiz BİLSEL
  • Önder AYDINGÖZ
  • Alper GÖKÇE

J Turk Spinal Surg 1993;4(4):90-92

Betvveen 1986 and 1993, spine fusions were performed by SSI-Galveston method in 5 patients with severe pelvic obliquity and by SSI method in the remaining 6 of 11 patients ali of whom had neuromuscular scoliosis. 8 (73%) of the patients were femate and 3 (27%) were male. The average age at operation was 15,2 years (11-21). Mean follow-up period was 49 months (5-98). Diagnoses included poliomyelitis in 9 cases and Kugelberg-VVelander's disease in 2 patients. 7 patients had only posterior fusion while 4 of the patients had also anterior fu-sion, one with Webb Morley, one with Zielke and two with Alıcı types of instrumentation. Average preoperative scoliosis was 71° (57°-115°). This was corrected to 45° (30°-76°) postoperatively and found to be 51° (31°-82°) at final follow-up. 7 of 8 patients who were not able to waik preoperatively began vvalking with the help of crutches after the operation. Sublaminal wires in the most proximal level in one patient and in the second distal level of an-other patient were broken bilaterally. The proximai parts of the rods of the patient whose proximal wires were broken migrated into the subcutaneous tissue. A revision operation was performed ant the rods were shortened but a loss of correction in the thoracic curve happened in that patient.

Keywords: Neuromuscular scoliosis, SSI, Galveston procedure.