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- W2044290954 abstract "Introduction Among the neuromuscular scoliosis, those associated with an upper or lower motor neuron lesion are defined as neuropathic spinal deformity. The neurologic definition of any single patient disorder is based according to clinical findings (spastic, ataxic, dystonic and dyskinetics) and to anatomical involvement (hemiplegia, diplegia, tetraplegia) [1]. The specific progression pattern in this kind of deformities is worse than in idiopathic scoliosis, with rapid and severe functional and postural impairment. Conservative treatment is generally unable to control the progression of the deformity. Surgery in almost all cases should be considered as the treatment of choice: its primary goal is to prevent the deformity progression and to achieve an acceptable trunk and pelvic balance [2]. In the past, different surgical techniques (Harrington and Luque instrumentations, Luque-Galveston construct) have been applied with good results but high incidence of complications [3]; nowadays third generation fixation systems are successfully used in order to reduce the pseudoarthrosis rate and provide a better and long-lasting correction. In our practice, hybrid constructs (screws, wires, hooks and rods) for posterior correction and fusion allow to achieve both goals and still represent the gold standard in the surgical management of these demanding cases [1]." @default.
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- W2044290954 date "2010-11-30" @default.
- W2044290954 modified "2023-10-16" @default.
- W2044290954 title "Hybrid strategy for correction and T3-sacrum posterior fusion in a severe neuropathic spinal deformity" @default.
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- W2044290954 doi "https://doi.org/10.1007/s00586-010-1633-1" @default.
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