The Role of Lumbodorsal Fascotomy in the Treatment of Peratlytic Scoliosis and Pelvic Obliquity
10.4055/jkoa.1972.7.1.1
- Author:
Kwon Ick HA
;
Keun Woo KIM
;
Eun Yong LEE
;
Duk Yong LEE
;
Moon Sik HAHN
- Publication Type:Original Article
- MeSH:
Adolescent;
Child;
Congenital Abnormalities;
Contracture;
Health Resorts;
Hip;
Humans;
Leg;
Methods;
Paralysis;
Scoliosis;
Spine
- From:The Journal of the Korean Orthopaedic Association
1972;7(1):1-8
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors carriod out lumbodorsal fasciotomy on six cases of paralytic scoliosis with pelvic obliquity. In our experience, in those older children and adolescents with paralysis in whom scoliotic curve is not severe and is more or less static, correction and maintenance of the correction can be achieved by lumbodorsal fasciotomy without resorting to spine fusion. While it is a common practice to leave a mild and static curve uncorrected, even a mild degree of scoliosis, when associated with pelvic obliquity, abduction contracture of the hip, instability of the other hip and leg length discrepancy, is a major problem in paralytic patients. Initial results indicate that lumbodorsal fasciotomy, combined with contralateral Soutters or Campbells fasciotomy if necessary, is a simple and effective method in correcting these deformities and restoring balance and function.
