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[Pelvic tilt in neuromuscular diseases]
1Universitätsklinik für Orthopädie, Innsbruck.
Der Orthopade
|September 1, 1990
Summary
Neuropathic oblique pelvis likely results from spinal deformity, not hip dislocation. Correcting spinal issues via fusion offers the best treatment for this pelvis malformation.
Area of Science:
- Orthopedics
- Neurology
- Spinal Deformity
Context:
- Investigating the etiology and optimal management of neuropathic oblique pelvis.
- Examining the correlation between neurological dysfunction and pelvic/spinal malformations.
- Analyzing 53 patient cases and existing literature.
Purpose:
- To determine the cause of neuropathic oblique pelvis.
- To identify the most effective treatment strategies.
- To explore the relationship between neurological deficits and pelvic obliquity.
Summary:
- Neuropathic oblique pelvis is strongly associated with neuropathic spinal deformity.
- Severe cases of oblique pelvis and scoliosis correlate with the degree of neurological dysfunction.
- Hip dislocation is a consequence, not a cause, of oblique pelvis; bidirectional influence is likely.
- Successful correction requires addressing the underlying neuropathic spinal deformity.
- Anterior and posterior fusion encompassing the lumbosacral junction yields optimal outcomes.
Impact:
- Provides crucial insights into the pathogenesis of neuropathic oblique pelvis.
- Establishes a foundation for targeted therapeutic interventions.
- Improves understanding of the interplay between neurological conditions and musculoskeletal deformities.
- Offers evidence-based recommendations for surgical correction, enhancing patient prognoses.