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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Effect of pelvic fixation on ambulation in children with neuromuscular scoliosis
Luke Drake, Hamdi Sukkarieh, Tyler McDonald, Eldrin Bhanat, Elisa Quince, Myles Atkins, Patrick Wright, Jaysson Brooks
Luke Drake, Hamdi Sukkarieh, Eldrin Bhanat, Patrick Wright, Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MI 39110, United States
Tyler McDonald, Department of Orthopaedic Surgery, University of South Alabama, Mobile, AL 36608, United States
Elisa Quince, School of Medicine, William Carey College of Medicine, Hattiesburg, MI 39401, United States
Myles Atkins, School of Medicine, Morehouse School of Medicine, Atlanta, GE 30310, United States
Jaysson Brooks, Department of Orthopaedic Surgery, UT-Southwestern, Dallas, TX 75219, United States
Author contributions: Drake LC performed study design, x-ray measurements, statistical analysis, and manuscript preparation; Sukkarieh H contributed to study design and manuscript preparation; McDonald TC contributed to study design and manuscript preparation; Bhanat E contributed to statistical analysis and manuscript preparation; Quince E contributed to x-ray measurements and statistical analysis; Atkins M contributed to x-ray measurements and statistical analysis; Wright P contributed to study design and manuscript preparation; Brooks JT contributed to study design, statistical analysis, and manuscript preparation
Institutional review board statement: The study was reviewed and approved by the University of Mississippi Medical Center Institutional Review Board [Approval No. 2018-01610].
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: Brooks JT is a paid consultant of Depuy-Synthes, A Johnson & Johnson Company; paid consultant of OrthoPediatrics; and a paid presenter or speaker of Medtronic Spine. The remaining authors declare no conflicts of interest.
Data sharing statement: Statistical code and dataset are available from the corresponding author at jaysson.brooks@tsrh.org. Participants did not give informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Jaysson Brooks, MD, Assistant Professor, Department of Orthopaedic Surgery, UT-Southwestern, 2222 Welborn Street, Dallas, TX 75219, United States. jaysson.brooks@tsrh.org
Received: March 29, 2022
Peer-review started: March 29, 2022
First decision: June 16, 2022
Revised: June 29, 2022
Accepted: July 31, 2022
Article in press: July 31, 2022
Published online: August 18, 2022
ARTICLE HIGHLIGHTS
Research background
Ambulatory patients with neuromuscular scoliosis are a rare subset of patients in which treatment does not compromise their ability to ambulate.
Research motivation
Insufficient research has been done to support the effects of posterior spinal fusion incorporating the pelvis on the ability to ambulate in ambulatory patients with neuromuscular scoliosis.
Research objectives
To report the effect of posterior spinal fusion incorporating the pelvis on the ability to ambulate after fusion in patients with neuromuscular scoliosis.
Research methods
This is a retrospective analysis of patient function outcomes after undergoing posterior spinal fusion incorporating the pelvis over a seven-year period at our children’s hospital.
Research results
Of the eleven patients fitting this criterion, no patient lost their ability to ambulate after undergoing posterior spinal fusion incorporating the pelvis.
Research conclusions
According to our findings, there is no effect on the ambulatory function of neuromuscular patients after posterior spinal fusion incorporating the pelvis.
Research perspectives
Although more evidence is needed, the experience at our institution would support that posterior spinal fusion incorporating the pelvis does not affect the patients’ ability to mobilize in ambulatory neuromuscular scoliosis patients.
