P72. Correction of neuromuscular scoliosis and pelvic obliquity without lumbosacral fusion

Abstract

HYPOTHESIS: Surgical correction of scoliosis and pelvic obliquity in neuromuscular diseases using spinal instrumentation is an accepted surgical procedure. Controversy exists as to the caudad extent of fusion and instrumentation: to lumbar 5 or to the sacrum. Instrumentation to lumbar 5 has been associated with lesser degrees of correction and postoperative progression of scoliosis and pelvic obliquity. Instrumentation with a U-Rod terminating in pedicle screws at lumbar 5 has demonstrated correction of scoliosis and pelvic obliquity equal to that accomplished with Unit-Rod instrumentation with maintenance of correction.