Biomaterial Database

The operative treatment of scoliosis in Duchenne muscular dystrophy. 1992

R F LaPrade, and D E Rowe

Michigan State University, Kalamazoo Center for Medical Studies.

The results of segmental spinal stabilization and fusion in nine patients with Duchenne muscular dystrophy are reviewed. The average follow-up time was 3.2 years. Vital capacities averaged 46% (range, 20% to 70%), and there were minimal pulmonary complications. Operative time and blood loss decreased when the spinal fixation method was changed from sublaminar to intraspinous wiring. Segmental wiring anchored through the spinous processes also maintained reduction and distraction until fusion occurred; we recommend this technique. The use of allogenic bone grafts to supplement the autogenous bone graft allowed for extensive fusion; we recommend this technique as well. Furthermore, fusion to the sacrum to prevent further pelvic obliquity should be indicated in all patients who develop scoliosis.

UI	MeSH Term	Description	Entries
D009136	Muscular Dystrophies	A heterogeneous group of inherited MYOPATHIES, characterized by wasting and weakness of the SKELETAL MUSCLE. They are categorized by the sites of MUSCLE WEAKNESS; AGE OF ONSET; and INHERITANCE PATTERNS.	Muscular Dystrophy,Myodystrophica,Myodystrophy,Dystrophies, Muscular,Dystrophy, Muscular,Myodystrophicas,Myodystrophies
D009989	Orthotic Devices	Apparatus used to support, align, or augment the functioning of parts of the body.	Orthoses,Orthosis,Parapodium,Device, Orthotic,Devices, Orthotic,Orthose,Orthotic Device,Parapodiums
D011300	Preoperative Care	Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)	Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D001864	Bone Wires	Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.	Kirschner Wire,Kirschner Wires,Bone Wire,Wire, Bone,Wire, Kirschner,Wires, Bone,Wires, Kirschner
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective
D012600	Scoliosis	An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed)	Scolioses
D013123	Spinal Fusion	Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)	Spondylodesis,Spondylosyndesis,Fusion, Spinal,Fusions, Spinal,Spinal Fusions,Spondylodeses,Spondylosyndeses