Transiliac lengthening with posterior lumbar-iliac percutaneous fusion in sacral hemiagenesis
2011

Transiliac Lengthening and Fusion for Sacral Hemiagenesis

Sample size: 5 publication Evidence: low

Author Information

Author(s): Pedro Antonio Sánchez

Primary Institution: Specialized Unit in Orthopedics and Traumatology S.A.S Club Hip & Knee, Bogotá, DC Colombia

Hypothesis

Can transiliac lengthening combined with posterior lumbar-iliac fusion effectively correct postural imbalance in patients with sacral hemiagenesis?

Conclusion

The procedure successfully corrected postural imbalance and achieved pelvic symmetry in patients with sacral hemiagenesis.

Supporting Evidence

  • The average preoperative pelvic imbalance was 4.1 cm.
  • Postoperative pelvic symmetry was achieved in all patients.
  • The average consolidation time for the osteotomy site was 6 weeks.
  • None of the patients experienced residual femoral nerve palsy.
  • All patients regained their preoperative ranges of hip motion.

Takeaway

Doctors can help kids with a spine problem by making their hips and pelvis more balanced, which helps them stand and walk better.

Methodology

This study involved a case series of 5 adolescent patients treated with transiliac lengthening and posterior lumbar-iliac fusion.

Potential Biases

Potential bias due to the lack of randomization and control in the case series design.

Limitations

The study is limited by its small sample size and lack of a control group.

Participant Demographics

5 adolescent patients (2 males, 3 females) aged 8.2 to 13.7 years.

Statistical Information

P-Value

P=0.036

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s11751-011-0109-0

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