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Surgical Management of Scoliosis Secondary to Duchenne Muscular Dystrophy Masashi Takaso 1 , Masatoshi Inoue 1 , Hideshige Moriya 2 , Kazuhisa Takahashi 2 , Masashi Yamazaki 2 , Keijiro Isobe 2 , Yoshinori Nakata 3 , Shohei Minami 4 , Toshiaki Kotani 4 , Moritoshi Itoman 5 1Department of Orthopaedic Surgery, National Hospital Organization Chiba Higashi National Hospital 2Department of Orthopaedic Surgery, Chiba University, Graduate School of Medicine 3Funabashi Orthopaedicks, Nishi-Funa Clinic 4Department of Orthopaedic Surgery, Seirei Sakura Citizen Hospital 5Department of Orthopaedic Surgery, Kitasato University Keyword: Duchenne muscular dystrophy , デュシェンヌ型筋ジストロフィー , spinal deformity , 脊柱変形 , scoliosis surgery , 側弯症手術 pp.175-181
Published Date 2006/2/1
DOI https://doi.org/10.11477/mf.1408100258
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 Duchenne muscular dystrophy (DMD) is often accompanied by spinal deformity. Spinal instrumentation and fusion to L5, rather than to the sacrum, is recommended for selected patients with scoliosis secondary to DMD. Most reports have recommended instrumentation and fusion to the sacrum or pelvis (sacropelvis), however, instrumentation to the sacropelvis is technically difficult, and there are many complications. The authors have performed instrumentation and fusion to L5 without regard to curve magnitude or pelvic obliquity and evaluated the clinical results. Mean scoliotic curvature was 75° preoperatively and 24° postoperatively. Mean kyphotic curvature was 62°, preoperatively, and 32° postoperatively. Scoliosis and kyphosis were relatively well corrected after surgery, and the corrections were well maintained. Treatment of patients with spinal deformity secondary to DMD by this surgical method resulted in good improvement of ADL and QOL.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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