Early limited instrumentation of scoliosis in XXXX : is a single-rod construct sufficient?

@entity1 @entity190 @entity16 @entity1555 @entity85
BACKGROUND CONTEXT: Correction of @entity85 in @entity1555 ( @entity1555 ) is performed to maintain adequate seating posture and facilitate comfort. Delaying surgery can predispose to greater morbidity as @entity1555 exhibits progressive cardiorespiratory compromise. Early limited instrumentation may provide a solution to optimize @entity1 with this condition. PURPOSE: The aim was to assess outcomes for a cohort of @entity1555 @entity1 who had posterior single-rod instrumentation and bilateral spinal fusion of their neuromuscular @entity85 . STUDY DESIGN: This was a retrospective cohort study. @entity1 SAMPLE: Forty-one consecutive @entity1 were included. OUTCOME MEASURES: Perioperative morbidity, seating outcomes, pulmonary function, deformity correction, and instrumentation integrity were assessed. METHODS: Clinical and radiographic review was performed. RESULTS: No perioperative @entity16 was encountered. Total surgical time was 96 minutes, mean @entity190 was 2.3l, mean intensive care unit stay was 41 hours, and overall length of stay was 11 days. Mean Cobb angle improved from 24.3   to 15.6  , pelvic obliquity improved from 7   preoperatively to 5   postoperatively. Three @entity1 had failure of fixation at a mean of 3.5 years. Forced vital capacity was 60% preoperatively and 56% at 1 year, forced expiratory volume/1 second was 67% and 62% at 1 year postoperatively. Seating and posture was satisfactory in all these @entity1 . CONCLUSIONS: The authors advocate early operative intervention using a limited instrumentation technique in @entity1 with @entity1555 to maintain seating balance and minimize perioperative morbidity.
