NTvO JUN 2006 ED_2 - Nederlands Tijdschrift voor Orthopaedie

The average growth measured was 1.82 cm, with an averagefollow-up of 54 months (5 – 153). The average postoperativecorrection of scoliosis achieved was 27degrees (54%). At followupa correction of 12 degrees (24%) remained (a correction lossof 15 degrees).The direct post-surgical pulmonary function (VC and FEV1)improved with 19% and 4% respectively; which is more thannatural history (1-5 percent decrease annually). However, thisimprove was smaller than their normal peers. The intra- and interobservermeasurement error turned out not to be significant.A total of 24 complications have been registered; the greatestpart (27%) of which were pulmonary problems.Conclusion: These results show that the Luque rod instrumentationwithout spondylodesis provides certain benefits with maintenanceof some spinal growth. The younger the patient by timeof corrective spinal surgery, the more growth can be expected.LITERATUUR1. Forst R, Forst J, Heller KD, Hengstler K. Characteristics inthe treatment of scoliosis in muscular diseases. Z OrthopIhre Grenzgeb. 1997;135(2):95-105. Review.2. Loos C, Leclair-Richard D, Mrad S, Barois A, Estournet-Mathiaud B. Respiratory capacity course in patients withinfantile spinal muscular atrophy. Chest. 2004;126(3):831-7.3. Phillips DP, Roye DP Jr, Farcy JP, Leet A, Shelton YA.Surgical treatment of scoliosis in a spinal muscular atrophypopulation. Spine. 1990;15(9):942-5.4. Samaha FJ, Buncher CR, Russman BS, White ML,Iannaccone ST, Barker L, Burhans K, Smith C, Perkins B,Zimmerman L. Pulmonary function in spinal muscularatrophy. J Child Neurol. 1994;9(3):326-9.5. Taddonio RF. Segmental Spinal Instrumentation in theManagement of Neuromuscular Spinal Deformity. Spine1982;7:305-11.6. Luque ER. The Anatomic Basis and Development ofSegmental Spinal Instrumentation. Spine 1982;7: 256-9.7. Dubousset J, Herring JA, Shufflebarger H. The crankshaftphenomenon. J Pediatr Orthop 1989;9(5):541-50.8. Gerver WJM, Bruin R. Paediatric Morphometrics, a ReferenceManual. Universitaire Pers Maastricht, Maastricht2001:40-69.9. Nordwall A. Studies in idiopathic scoliosis relevant toetiology, conservative and operative treatment. Acta OrthopScand Suppl. 1973:1-17810. Duval-Beaupere G, Kaci M, Lougovoy J, Caponi MF,Touzeau C. Growth of trunk and legs of children with myelomeningocele.Dev Med Child Neurol. 1987;29(2):225-31.11. Duval-Beaupere G, Lougovoy J, Trocellier L, Lacert P.Trunk and leg growth in children with paraplegia caused byspinal cord injury. Paraplegia. 1983;21(6):339-50.12. Breakwell LM, Akbarnia BA, Tambe T, Marks DS, CanaleSK, Kostial P, McCarthy RE, Burton DC, Asher MA. Endresults of dual growing rod technique folllowed for four to12 years until final fusion: the effect of frequency of lengthening.Euro Spine J 2005;14:7-813. Jaeger-Denavit O, Duval-Beaupere G, Grossiord A.Longitudinal study of vital capacity during the growth of 69poliomyelitics (author's transl) Rev Epidemiol SantePublique. 1978;26(2):171-81.14. Robinson D, Galasko CS, Delaney C, Williamson JB, BarrieJL. Scoliosis and lung function in spinal muscular atrophy.Eur Spine J. 1995;4(5):268-73.15. Smeets M, Brunekreef B, Dijkstra L, Houthuijs D. Lunggrowth of pre-adolescent children. Eur Respir J.1990;3(1):91-6.16. Boachie-Adjei O, Lonstein JE, Winter RB, Koop S, vandenBrink K, Denis F. Management of neuromuscular spinal deformitieswith Luque segmental instrumentation. J BoneJoint Surg Am. 1989;71(4):548-62.17. Brown JC, Zeller JL, Swank SM, Furumasu J, Warath SL.Surgical and functional results of spine fusion in spinalmuscular atrophy. Spine. 1989;14(7):763-70.18. Sussman MD, Little D, Alley RM, McCoig JA. Posterior instrumentationand fusion of the thoracolumbar spine fortreatment of neuromuscular scoliosis. J Pediatr Orthop.1996;16(3):304-13.19. Broom MJ, Banta JV, Renshaw TS. Spinal fusion augmentedby luque-rod segmental instrumentation for neuromuscularscoliosis. J Bone Joint Surg 1989;71-A:32-44.20. Loder RT, Spiegel D, Gutknecht S, Kleist K, Ly T, MehbodA. The assessment of intraobserver and interobserver errorin the measurement of noncongenital scoliosis in children10 years of age or younger. Spine. 2004;29(22):2548-53.21. Pruijs JE, Hageman MA, Keessen W, van der Meer R, vanWieringen JC. Variation in Cobb angle measurements inscoliosis. Skeletal Radiol. 1994;23(7):517-20.Vol.13juni’06NEDERLANDS TIJDSCHRIFT VOOR ORTHOPAEDIE ■ 97