ArticleCureus2024
Chiari Pelvic Osteotomy and Femoral Varus Osteotomy for Recurrent Hip Dislocation in a Patient With Complete Lower Extremity Paralysis Due to Spina Bifida at the Thoracic Level.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Spina bifida can result in lower-extremity motor and sensory deficits, often leading to hip joint dislocation, a significant disability. The optimal surgical approach for hip dislocation in spina bifida patients remains a subject of debate. A 12-year-old girl with thoracic-level spina bifida experienced recurrent hip dislocations, significantly impacting her daily life and sports activities. At the age of 13, she underwent a femoral varus osteotomy. However, after six months, her hip dislocated again. At the age of 14, she underwent a Chiari pelvic osteotomy in addition. Six years later, she exhibited no limitations in her daily activities and sports participation. We report the first successful treatment of recurrent hip dislocation in a spina bifida patient with thoracic-level involvement, utilizing a combination of femoral varus osteotomy and pelvic osteotomy. Prior to surgical intervention, not only a comprehensive assessment of the patient's physical examination but also an assessment of their goals and living environment are essential.
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