{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:57:29Z","timestamp":1780509449789,"version":"3.54.1"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>To determine whether posterior-only approach using pedicle screws in neuromuscular scoliosis population adequately addresses the correction of scoliosis and maintains the correction over time.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Between 2003 and 2006, 26 consecutive patients (7 cerebral palsy, 10 Duchenne muscular dystrophy, 5 spinal muscular atrophy and 4 others) with neuromuscular scoliosis underwent posterior pedicle screw fixation for the deformity. Preoperative, immediate postoperative and final follow-up Cobb's angle and pelvic obliquity were analyzed on radiographs. The average age of the patients was 17.5 years (range, 8\u201344 years) and the average follow-up was 25 months (18\u201352 months).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Average Cobb's angle was 78.53\u00b0 before surgery, 30.70\u00b0 after surgery (60.9% correction), and 33.06\u00b0 at final follow-up (57.9% correction) showing significant correction (p &lt; 0.0001). There were 9 patients with curves more than 90\u00b0 showed an average pre-operative, post operative and final follow up Cobb's angle 105.67\u00b0, 52.33\u00b0 (50.47% correction) and 53.33\u00b0 (49.53% correction) respectively and 17 patients with curve less than 90\u00b0 showed average per operative, post operative and final follow up Cobb's angle 64.18, 19.24(70% correction) and 21.41(66.64 correction); which suggests statistically no significant difference in both groups (p = 0.1284). 7 patients underwent Posterior vertebral column resection due to the presence of a rigid curve. The average spinal-pelvic obliquity was 16.27\u00b0 before surgery, 8.96\u00b0 after surgery, and 9.27\u00b0 at final follow-up exhibited significant correction (p &lt; 0.0001). There was 1 poliomyelitis patient who had power grade 3 in lower limbs pre-operatively, developed grade 2 power post-operatively and gradually improved to the pre-operative stage. There was 1 case of deep wound infection and no case of pseud-arthrosis, instrument failures or mortality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Results indicate that in patients with neuromuscular scoliosis, acceptable amounts of curve correction can be achieved and maintained with posterior-only pedicle screw instrumentation without anterior release procedure.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1749-799x-3-23","type":"journal-article","created":{"date-parts":[[2008,6,20]],"date-time":"2008-06-20T18:12:51Z","timestamp":1213985571000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Treatment of neuromuscular scoliosis with posterior-only pedicle screw fixation"],"prefix":"10.1186","volume":"3","author":[{"given":"Hitesh N","family":"Modi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung-Woo","family":"Suh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hae-Ryong","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry M","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Hyuk","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2008,6,10]]},"reference":[{"key":"68_CR1","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1097\/00007632-199009000-00020","volume":"15","author":"JV Banta","year":"1990","unstructured":"Banta JV: Combined anterior and posterior fusion for spinal deformity in Myelomeningocele. 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