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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Four-rod technique for neuromuscular scoliosis and pelvic obliquity correction: technical note and case series.

Fernando Moreno Mateo, Jessica H Heyer, Caroline Gmelich, Kira Page, Peter Cirrincione, Akshitha Adhiyaman, Olivia C Tracey, Roger F Widmann

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. 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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5 · Who and what money

Authors and funding

8 authors.

Fernando Moreno MateoDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Jessica H HeyerDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA. heyerj@hss.edu.ORCID http://orcid.org/0000-0003-4895-6944
Caroline GmelichDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Kira PageDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Peter CirrincioneDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Akshitha AdhiyamanDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Olivia C TraceyDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Roger F WidmannDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical correction of neuromuscular scoliosis is a challenging problem facing spine surgeons. Many patients require long constructs and pelvic fixation to obtain adequate curve correction and pelvic obliquity correction. The aim of this technical note is to describe a technique for sequential pelvic obliquity and scoliotic curve correction in patients with neuromuscular scoliosis using four rods in upper thoracic to pelvis posterior spinal fusion, without the need for intraoperative traction. We present 5 cases of neuromuscular scoliosis that underwent upper thoracic to pelvis posterior spinal fusion using the four-rod technique and demonstrate improvement in major Cobb angle and pelvic obliquity immediately postoperatively and maintained at final follow-up (range: 2-16 years). Preliminary findings from this small case series support the use of four-rod correction technique for correction of neuromuscular scoliosis and pelvic obliquity.

Indexed as

Neuromuscular DiseasesScoliosisSpinal FusionHumansPelvisThoracic VertebraeTreatment OutcomeNeuromuscular scoliosisPelvic fixationPelvic obliquityPosterior spinal fusionSurgical technique

Identifiers

PMID40069430

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