{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T01:00:44Z","timestamp":1775696444927,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T00:00:00Z","timestamp":1707004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Pelvic fixation remains one of the main challenging issues in non-ambulatory neuromuscular scoliosis (NMS) patients, between clinical effectiveness and a high complication rate. The objective of this multicenter and retrospective study was to evaluate the outcomes of a technique that was applied to treat 173 NMS patients. The technique is not well-known but promising; it uses the ilio-sacral screw, combined with either the posterior spinal fusion or fusionless bipolar technique, with a minimum follow-up of two years. The mean operative age of the patients was 13 \u00b1 7 years. The mean preoperative main coronal curve was 64\u00b0 and improved by a mean of \u221239\u00b0 postoperatively. The mean preoperative pelvic obliquity was 23\u00b0, which improved by a mean of \u221214\u00b0 postoperatively. No decrease in the frontal or sagittal correction was observed during the last follow-up. The sitting posture improved in all cases. Twenty-nine patients (17%) had a postoperative infection: twenty-six were treated with local debridement and antibiotics, and three required hardware removal. Fourteen mechanical complications (8%) occurred: screw malposition (n = 6), skin prominence (n = 1), and connector failure (n = 1). This type of surgery is associated with a high risk for infection. Comorbidities, rather than the surgery itself, were the main risk factors that led to complications. The ilio-sacral screw was reliable and effective in correcting pelvic obliquity in NMS patients. The introduction of intraoperative navigation should minimize the risk of screw misplacement and facilitate revision or primary fixation.<\/jats:p>","DOI":"10.3390\/children11020199","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T05:22:44Z","timestamp":1707110564000},"page":"199","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Pelvic Fixation Technique Using the Ilio-Sacral Screw for 173 Neuromuscular Scoliosis Patients"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3070-0545","authenticated-orcid":false,"given":"Mathilde","family":"Gaum\u00e9","sequence":"first","affiliation":[{"name":"University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne University, 26 Avenue du Dr Netter, 75012 Paris, France"},{"name":"Pediatric Orthopedic Surgery Department, Necker Hospital, APHP, University of Paris-Cit\u00e9, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie","family":"Saghbiny","sequence":"additional","affiliation":[{"name":"University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne University, 26 Avenue du Dr Netter, 75012 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lou","family":"Richard","sequence":"additional","affiliation":[{"name":"University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne University, 26 Avenue du Dr Netter, 75012 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e9lia","family":"Thouement","sequence":"additional","affiliation":[{"name":"University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne University, 26 Avenue du Dr Netter, 75012 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rapha\u00ebl","family":"Vialle","sequence":"additional","affiliation":[{"name":"University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne University, 26 Avenue du Dr Netter, 75012 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lotfi","family":"Miladi","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Surgery Department, Necker Hospital, APHP, University of Paris-Cit\u00e9, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.2106\/00004623-198870090-00002","article-title":"Progression of scoliosis after skeletal maturity in institutionalized adults who have cerebral palsy","volume":"70","author":"Thometz","year":"1988","journal-title":"J. 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