Fusion to the sacrum for nonparalytic scoliosis in the adult

Richard A. Balderston, Robert B. Winter, John H. Moe, David S. Bradford, John E. Lonstein

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107 Scopus citations

Abstract

This study is a retrospective review of 43 adult patients with idiopathic or congenital scoliosis who had spinai fusion from T11 or above to the sacrum. This study was prompted by the frustrations of the treating surgeons in attempting long fusions from the thoracic spine to the sacrum. Of 25 patients treated with a single-stage posterior fusion only 28% had a good result with a single procedure. Failures were due to pseudarthrosis, decompensation, or loss of lumbar lordosis. Ten patients treated with posterior fusion and subsequent 6-month augmentation had a 70% success rate. Eight patients treated with anterior followed by posterior fusion had a 75% success rate. The ideal answer to this clinical problem has not yet been found.

Original languageEnglish (US)
Pages (from-to)824-829
Number of pages6
JournalSpine
Volume11
Issue number8
DOIs
StatePublished - Oct 1986

Keywords

  • Fusion to sacrum
  • Loss of lordosis
  • Pseudarthrosis
  • Scoliosis

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