Indications ID’d for excluding the pelvis in children with CP scoliosis treated with growth-friendly implants<\/p>\n<\/h3>\n
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MONDAY, April 25, 2022 (HealthDay News) — Distal spine anchors (DSA) may provide better long-term control of the major curve than distal pelvic anchors (DPA) in children with cerebral palsy (CP) scoliosis, according to a study recently published in Spine Deformity<\/em>.<\/p>\n Ying Li, M.D., from C.S. Mott Children’s Hospital in Ann Arbor, Michigan, and colleagues sought to identify indications to exclude the pelvis in children with CP scoliosis treated with growth-friendly instrumentation. A retrospective analysis included children with CP scoliosis treated with traditional growing rods, magnetically controlled growing rod system, or vertical expandable prosthetic titanium rib and at least two years of follow-up.<\/p>\n The researchers identified 27 patients with DSA and 71 patients with DPA placed at the index surgery. Extension of the instrumentation to the pelvis (DSA-EXT) occurred in 22 percent of DSA patients, most commonly at final fusion. Compared with patients who did not require extension, DSA-EXT patients had a higher pre-index L5 tilt (10 versus 19 degrees). At the most recent follow-up, the DSA-EXT group had a lower major curve versus the DPA group (33 versus 58 degrees). Compared with those not requiring extension, the DSA-EXT group had a higher number of complications per patient (1.1 versus 2.3).<\/p>\n “Pre-index L5 tilt \u00e2\u0089\u00a410 degrees and pelvic obliquity <10 degrees may be indications to exclude the pelvis in children with CP scoliosis treated with growth-friendly instrumentation,\" the authors write.<\/p>\n Several authors disclosed financial ties to the medical technology industry.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n