PRELIMINARY RESULTS OF THE BIPOLAR TECHNIQUE IN THE TREATMENT OF NEUROMUSCULAR SCOLIOSIS

RESULTADOS PRELIMINARES DA TÉCNICA BIPOLAR NO TRATAMENTO DA ESCOLIOSE NEUROMUSCULAR

RESULTADOS PRELIMINARES DE LA TÉCNICA BIPOLAR EN EL TRATAMIENTO DE LA ESCOLIOSIS NEUROMUSCULAR

ABSTRACT

Objective

To present the preliminary results of the bipolar technique for the surgical treatment of neuromuscular spine deformities.

Methods

Five patients with neuromuscular scoliosis (cerebral palsy – 3 patients, spinal amyotrophy – 1 patient, and genetic syndrome – 1 patient) underwent surgical treatment using the bipolar technique and were evaluated 12 months after the operation.

Results

General care and the ability to sit improved in all patients. The main curve ranged from 64.7 to 84.1 degrees (mean 70.58 ± 7.1) in the preoperative period and from 2.6 to 50.3 degrees (mean 25.50 ± 16.0) in the postoperative period with 64% correction. Corrections of pelvic obliquity (85%), T4-T12 kyphosis (43%), the Pisa angle (69%) and the sacroclavicular angle (60%) were observed 12 months following surgery. Postoperative infection (2 patients) and pneumonia (1 patient) were the complications observed.

Conclusion

The bipolar technique presented good clinical and radiological results associated with low morbidity in the treatment of neuromuscular spine deformities. Level of evidence IV; Case series.

Scoliosis; Neuromuscular Diseases; Minimally Invasive Surgical Procedures; Deformities