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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v13.i6.10
8 pages

Treatment of Neuromuscular Scoliosis with Posterior Spinal Fusion Using the Galveston Technique: A Retrospective Review and Results of 62 Patients

Bryan T. Edwards
Medical College of Georgia, Department of Surgery, Division of Orthopaedics, Augusta, Georgia, USA
Robert D. Zura
Assistant Professor of Orthopaedic Surgery, Duke University Medical Center, Division of Orthopaedic Surgery, Box 3389, Durham, NC 27710, USA
Styles L. Bertrand
Department of Orthopaedic Surgery, Medical College of Georgia-Augusta University, Augusta, GA
Sharon Leonard
Jonathan Pellet
Shriners Hospital for Children, Honolulu, HI

ABSTRACT

Historically, the operative treatment of neuromuscular scoliosis has been associated with a high rate of complication. Recent literature has shown a decreased rate of complication (<50%) in the management of neuromuscular scoliosis with spinal arthrodesis techniques. A retrospective chart and radiographic review of 62 spinal fusions for neuromuscular scoliosis was performed. There were 53 posterior spinal fusions and 9 anteroposterior spinal fusions. The Galveston technique was used in all patients. The average age at surgery was 13 years 7 months, with an average follow-up of 23 months (minimum 10 months). The mean preoperative and postoperative curve magnitudes were 66° and 31°, respectively. There were 20 minor complications and 5 major complications in 20 patients. There were no neurologic complications or deaths.