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Neuromuscular Scoliosis Treated by Segmental Third-Generation Instrumented Spinal Fusion

Teli, Marco MD; Elsebaie, Hazem FRCS; Biant, Leela FRCS; Noordeen, Hilali FRCS

Journal of Spinal Disorders & Techniques: October 2005 - Volume 18 - Issue 5 - p 430-438
doi: 10.1097/01.bsd.0000171873.99803.9f
Original Article
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We aimed to investigate whether the outcome and complications of surgical treatment of neuromuscular curves with segmental third-generation instrumentation could compare with those reported with standard second-generation instrumentation. The clinical and radiologic data of a single surgeon's consecutive series of patients with neuromuscular scoliosis treated with two types of newer-generation instrumentation and posterior or anteroposterior approaches were retrospectively and independently reviewed. The results of this study support the concept that third-generation instrumentation is able to provide at least as good results as second-generation instrumentation in the treatment of neuromuscular scoliosis patients, at the expense of a lower complication rate.

From the Great Ormond Street Hospital for Sick Children, London and Royal National Orthopaedic Hospital, Stanmore, UK.

Received for publication July 29, 2004; accepted May 13, 2005.

Dr. M. Teli's current address is Galeazzi Orthopaedic Institute, Milan, Italy. Dr. H. Elsebaie's current address is Cairo University Hospital, Cairo, Egypt.

Reprints: Dr. M. Teli, Galeazzi Orthopaedic Institute, Via Galeazzi 4, 20161 Milan, Italy (e-mail: marcoteli@hotmail.com).

© 2005 Lippincott Williams & Wilkins, Inc.