Original Article: PDF OnlyRecurrent Hip Dislocation in Intermediate Spinal AtrophyThompson, Charlotte E. M.D.; Larsen, Loren J. M.D. Author Information Department of Pediatrics, University of California Medical School, San Diego, Center for Handicapped Children and Teenagers, Pacific Presbyterian Medical Center, San Francisco Department of Orthopedic Surgery, The University of California Medical Center, San Francisco Shriners Hospital for Crippled Children, San Francisco, California Journal of Pediatric Orthopaedics: September 1990 - Volume 10 - Issue 5 - p 638-641 Buy Abstract Summary Recurrent hip dislocation after corrective orthopaedic surgery in children and teenagers with intermediate spinal atrophy has not been reported in the literature. Four cases with long-term follow-up are presented. These represent the only cases surgically treated in 30 years of following spinal atrophy patients. Thus, it seems significant that all hips redislocated after the surgical procedure. In addition, two patients had second operations with subsequent dislocation. Pelvic obliquity should not be the basis for the surgery, as spinal fusion is generally necessary for wheelchair users. The sagacity of performing surgery for hip dislocations is raised. © Lippincott-Raven Publishers.