STUDY DESIGN: Before-after intervention study of a fusionless surgical technique to correct @entity1635 secondary to @entity1566 or @entity2590 in @entity1 and adolescents. OBJECTIVES: To determine the feasibility, safety, and utility of a fusionless treatment option for @entity1635 . Once determined, these data could then be applied to develop the application of this operation for @entity1 with other types of @entity1635 , such as idiopathic. SUMMARY OF BACKGROUND DATA: The optimal operative treatment for @entity1635 remains to be determined. An ideal procedure would correct the deformity and stop the progression of @entity1635 while maintaining mobility of the spine. This latter fact is important, especially for @entity1 who rely heavily on use of trunk mobility for function. METHODS: Fourteen @entity1 with @entity1635 secondary to @entity1566 or @entity2590 underwent a fusionless vertebral body wedge osteotomy procedure. Feasibility was analyzed by the ability to correct the @entity1635 with the osteotomies and preserve mobility. Safety was reported by estimated @entity190 , @entity16 , and complications. Utility was reported by radiographic evidence of arrested curve progression and maintenance of spinal mobility. RESULTS: All 14 @entity1 successfully underwent surgery to insert the wedge-rod system, with an average initial correction of 86% (range 66%-108%). The average estimated @entity190 was 1050 cc (range 300-2000 cc). There were no major complications, and no changes in spasticity, bowel or bladder patterns, or motor/sensory levels. There was no case of nonunion at the osteotomy sites. At mean follow-up of 15 months (6-29 months), 10 @entity1 had an improvement in their Cobb magnitude, 1 @entity1 was within 5 degrees of their initial curve, 1 @entity1 had a worse Cobb magnitude, and in 2 @entity1 , the curve direction reversed but still measured less than the preoperative Cobb measurement. Spinal mobility was retained in all @entity1 , as demonstrated on side-bending radiographs. CONCLUSIONS: The vertebral wedge osteotomy procedure appears to be a potential option for the treatment of @entity1635 . The procedure was feasible and safely performed in these 14 @entity1 , with spinal mobility maintained. There were no nonunions. The efficacy of the procedure is still not known, as is for which @entity1 the procedure is indicated and timing of the operation. Long-term follow-up (to skeletal maturity) is needed. Only six of the @entity1 are currently skeletally mature, and more numbers are needed to determine efficacy in this group.

The feasibility, safety, and utility of vertebral wedge osteotomies for the fusionless treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic stability'] @entity2590 :: ('MESH:D009190', 'Disease') :: ['myelodysplasia'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis', 'paralytic scoliosis'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury']
@entity1635 :: (MESH:D012600,Disease) :: ['paralytic scoliosis']
