Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 24326
TREATMENT OF STATIC SCOLIOSIS AND PELVIC OBLIQUITY
Ghassan SALAMEH
Head of Center for Lengthening and Reconstruction, Damascus (SYRIA)
Often we find mobile scoliosis which is not fixed deformity and depends of pelvic
obliquity which is related to many factors often of hip deformities , knee deformities
or limb length discrepancies or both and in some cases paralytic insufficiency.
Treatment of pelvic obliquity Consists of Femur congenital and acquired deformities,
hip and knee deformities like old hip dislocations or subluxations or even paralytic
malformations and knee deformities consider a special method for correction, hip
and knee axis need a special correlation of alignment for this reason a special hinges
are modified for treatment of either isolated hip, knee deformities or when we have
combined deformity an combined hinges modified for treatment both of hip and knee
deformities, the used hinges are modified system of Salamehfix4, [SLDF4]. From
2002 to 2008, 85 cases where treated with various hip and knee deformities
combined with static scoliosis changing the hip angel in order to replace some of
muscle paralyses insufficiency this will decrees of Trandelenburg gait and limping
and at the same time we can restore limb length inequality and correction of static
scoliosis. Complications where mostly superficial pin infection which treated locally.
Conclusions: Correction of pelvic obliquity is a good method of treatment of static
scoliosis and we have to consider it. The used system is differs by simplicity, small
size in correlation to its functional hinges and stability of fixation and gives good
results.
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