Biomaterial Database

Paralytic scoliosis in growing children. 1982

E R Luque

Forty-seven consecutive patients younger than eight years of age were treated for scoliosis with Harrington rods and segmental wiring, without any external immobilization. The series included 38 postpoliomyelitis patients, six muscular dystrophy patients, and three paraplegics. The average correction was 78%, with an average loss of 8% per case. Follow-up averaged four years eight months. Growth in the area of immobilization averaged 4.6 cm. Four patients (9%) had complications after the first surgery, ten (48%) after the second surgery, and three (75%) after the third surgery. Fractured Harrington bars represented 7.5% of the complications after the first surgery, 35% after the second surgery, and 50% after the third surgery. Growth potential was partially preserved after subperiosteal dissection and segmental wiring. Good correction was obtained with the method, but Harrington bars broke and two to three supplementary operations were needed to accomodate for growth of the spine.

UI	MeSH Term	Description	Entries
D007738	Kyphosis	Deformities of the SPINE characterized by an exaggerated convexity of the vertebral column. The forward bending of the thoracic region usually is more than 40 degrees. This deformity sometimes is called round back or hunchback.	Hyperkyphosis,Hyperkyphoses,Kyphoses
D008141	Lordosis	The anterior concavity in the curvature of the lumbar and cervical spine as viewed from the side. The term usually refers to abnormally increased curvature (hollow back, saddle back, swayback). It does not include lordosis as normal mating posture in certain animals (
D008297	Male		Males
D009984	Orthopedic Fixation Devices	Devices which are used in the treatment of orthopedic injuries and diseases.	Device, Orthopedic Fixation,Devices, Orthopedic Fixation,Fixation Device, Orthopedic,Fixation Devices, Orthopedic,Orthopedic Fixation Device
D010243	Paralysis	A general term most often used to describe severe or complete loss of muscle strength due to motor system disease from the level of the cerebral cortex to the muscle fiber. This term may also occasionally refer to a loss of sensory function. (From Adams et al., Principles of Neurology, 6th ed, p45)	Palsy,Plegia,Todd Paralysis,Todd's Paralysis,Palsies,Paralyses,Paralysis, Todd,Paralysis, Todd's,Plegias,Todds Paralysis
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002657	Child Development	The continuous sequential physiological and psychological maturing of an individual from birth up to but not including ADOLESCENCE.	Infant Development,Development, Child,Development, Infant
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D005260	Female		Females