Abstract

Indications for, and clinical results of, temporary internal distraction for large rigid spinal deformity curves are reviewed. Use of this technique in 20 patients resulted in 54% initial correction and 79% final correction. One-third of the patients had temporary neuromonitoring changes. Use of low profile pelvic fixation with sacral alar-iliac screws from the sacral ala is described in 88 neuromuscular and syndromic patients. Pelvic obliquity was corrected to a mean of 5°. Eight of 176 screws showed lucency of >2 mm. Breakage did not occur in screws >8 mm. These techniques can aid in correction of severe deformity in children and adolescents.

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