ABSTRACT: Transverse-plane Pelvic Asymmetry in Patients With Cerebral Palsy and Scoliosis.
Ko PS, Jameson PG 2nd, Chang TL, Sponseller PD.
BACKGROUND: Pelvic obliquity and loss of sitting balance develop from progressive scoliosis in cerebral palsy (CP) and are indications for surgery. Our goal was to quantify pelvic asymmetry to help understand skeletal deformity in CP and its surgical correction.
CONCLUSIONS: Transverse pelvic asymmetry, a little-recognized deformity in patients with severe CP, is most pronounced above the acetabulum and is more common in patients with windswept hips. Spine surgeons should be aware of such asymmetry because it may make iliac fixation challenging and account for some persistent postoperative deformity.
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Tuesday, March 22, 2011
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