Eur J Pediatr Surg 1998; 8: 22-25
DOI: 10.1055/s-2008-1071247
Original article

© Georg Thieme Verlag KG Stuttgart · New York

Surgical Treatment of Scoliosis Associated with Myelomeningocele

G.  Stella1 , E.  Ascani2 , S.  Cervellati3 , N.  Bettini3 , M.  Scarsi1 , M.  Vicini2 , P.  Magillo1 , M.  Carbone1
  • 1Second Department of Orthopedic Surgery and General Surgery Service, Istituto G.Gaslini Genoa, Italy
  • 2Spinal Deformities Center, Ospedale Bambino Gesù, Rome, Italy
  • 3Spinal Surgery Center, Istituto Ortopedico Rizzoli, Bologna, Italy
Further Information

Publication History

Publication Date:
25 March 2008 (online)


Twenty-nine patients (mean age 12 years) with severe thoracolumbar and lumbar scoliosis due to myelomeningocele were treated by spinal fusion (7 by posterior arthrodesis with instrumentation, 3 by anterior arthrodesis with instrumentation, 19 by combined anterior and posterior fusion with instrumentation). Fusion was extended to the sacrum in 15 patients. Mean period of follow-up was 6.2 years. The average Cobb angle changes were as follows: thoracic and thoracolumbar curves preoperatively 86 degrees to 45 degrees at follow-up (the final average curve correction was 47 %); lumbar curves preoperatively 97 degrees to 48 degrees at follow-up (the final average curve correction was 50%). Average pelvis obliquity changed from 26 degrees to 13 degrees at follow-up with an average correction of 49 %. The combined anterior and posterior instrumentation and fusion gave the best correction of deformity (the final average thoracic and thoracolumbar curve correction was 55%; the final average lumbar curve correction was 61%). Independent of the method of stabilization, post-operative wound infection was a serious problem (24%). The combined fusioninstrumentation method reduced the rate of pseudoarthrosis to 14%.