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Leg lengthening in spinal dysraphism.

F S Haddad¹, R A Hill

¹The Hospital for Sick Children, London, England.

Journal of Pediatric Orthopedics

|May 27, 1999

Summary

Limb lengthening using the Ilizarov method is safe for patients with spinal dysraphism. This procedure effectively addresses limb inequality and foot deformities without increasing complications in community walkers.

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Area of Science:

Orthopedic surgery
Pediatric orthopedics
Spinal cord anomalies

Background:

Spinal dysraphism can cause significant limb length discrepancies and foot deformities.
Concerns exist regarding the safety of limb lengthening in patients with pre-existing neurological deficits.

Purpose of the Study:

To evaluate the safety and efficacy of Ilizarov lower limb lengthening in community walkers with spinal dysraphism.
To compare complication rates with those of limb lengthening for other conditions.

Main Methods:

Seven community walkers with spinal dysraphism underwent Ilizarov lower limb lengthening.
Complications such as sepsis, soft-tissue, and bony issues were monitored.
Functional recovery and mobilization timelines were recorded.

Main Results:

The Ilizarov procedure was well tolerated in this patient group.
No increase in sepsis, soft-tissue, or bony complications was observed compared to controls.
Patients mobilized quickly and returned to their baseline function within 3 months post-removal.

Conclusions:

Ilizarov limb lengthening is a safe and effective option for community walkers with spinal dysraphism.
The procedure does not appear to exacerbate neurological issues or increase complication rates.
Prompt functional recovery can be expected following treatment.

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