Moreno Mateo Fernando, Heyer Jessica H, Gmelich Caroline, Page Kira, Cirrincione Peter, Adhiyaman Akshitha, Tracey Olivia C, Widmann Roger F
Department of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Eur J Orthop Surg Traumatol. 2025 Mar 11;35(1):109. doi: 10.1007/s00590-025-04217-4.
Surgical correction of neuromuscular scoliosis is a challenging problem facing spine surgeons. Many patients require long constructs and pelvic fixation to obtain adequate curve correction and pelvic obliquity correction. The aim of this technical note is to describe a technique for sequential pelvic obliquity and scoliotic curve correction in patients with neuromuscular scoliosis using four rods in upper thoracic to pelvis posterior spinal fusion, without the need for intraoperative traction. We present 5 cases of neuromuscular scoliosis that underwent upper thoracic to pelvis posterior spinal fusion using the four-rod technique and demonstrate improvement in major Cobb angle and pelvic obliquity immediately postoperatively and maintained at final follow-up (range: 2-16 years). Preliminary findings from this small case series support the use of four-rod correction technique for correction of neuromuscular scoliosis and pelvic obliquity.
神经肌肉型脊柱侧弯的手术矫正，是脊柱外科医生面临的一项具有挑战性的难题。许多患者需要使用长节段固定装置和骨盆固定，以获得足够的脊柱侧弯矫正和骨盆倾斜度矫正。本技术说明的目的是描述一种在神经肌肉型脊柱侧弯患者中，使用从上胸椎至骨盆的后路脊柱融合四棒技术，依次矫正骨盆倾斜度和脊柱侧弯曲线的技术，而无需术中牵引。我们展示了5例采用四棒技术进行从上胸椎至骨盆后路脊柱融合的神经肌肉型脊柱侧弯病例，并证明术后即刻主 Cobb 角和骨盆倾斜度均有改善，且在最终随访（范围：2 - 16年）时得以维持。这个小病例系列的初步结果支持使用四棒矫正技术来矫正神经肌肉型脊柱侧弯和骨盆倾斜度。
