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: firstname.lastname@example.org).