Simultaneous Correction of Pelvic Obliquity, Frontal Plane, and Sagittal Plane Deformities in Neuromuscular Scoliosis Using a Unit Rod with Segmental Sublaminar Wires

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Abstract
Ten patients with neuromuscular scoliosis and pelvic obliquity had segmental spinal instrumentation using a unit Luque rod with sublaminar wires and fixation into the pelvis. Nine of the 10 patients also had anterior spinal fusion without instrumentation before the posterior procedure. Average preoperative pelvic obliquity was 42.degree. which was corrected to 6.degree. (82% correlation). Average preoperative scoliosis was 92.degree., which was correlated to 16.degree. (81% correction). Complications included a wound hematoma in one patient and a superficial wound dehiscence in another. There have been no pseudarthroses or hardware failures to date. Excellent correction of the pelvic obiquity and the spinal curve in neuromuscular scoliosis can be obtained with use of a unit rod and without use of anterior instrumentation.

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