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John L. Dart Library
Closed for Maintenance
Phone: (843) 722-7550
West Ashley Library
9 a.m. - 5 p.m.
Phone: (843) 766-6635
Folly Beach Library
9 a.m. - 2 p.m.
*open the 2nd and 4th Saturday
*open the 2nd and 4th Saturday
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 5 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 5 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 5 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. – 5 p.m.
Phone: (843) 849-6161
McClellanville Library
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Keith Summey North Charleston Library
9 a.m. - 5 p.m.
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John's Island Library
9 a.m. - 5 p.m.
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9 a.m. - 5 p.m.
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Phone: (843) 795-6679
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Phone: (843) 805-6930
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Spinal correction in patients with Fukuyama congenital muscular dystrophy.
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- Author(s): Saito, Wataru1; Namba, Takanori1; Inoue, Gen1 ; Imura, Takayuki1; Miyagi, Masayuki1; Nakazawa, Toshiyuki1; Shirasawa, Eiki1; Uchida, Kentaro1; Takaso, Masashi1
- Source:
Journal of Orthopaedic Science. Jul2017, Vol. 22 Issue 4, p658-664. 7p.- Subject Terms:
*MUSCULAR dystrophy treatment; *SPINAL cord diseases; *CONGENITAL disorders; *MEDICAL radiography; *DISEASE progression; *DIAGNOSIS; *CONVALESCENCE; *POSTURAL balance; *LENGTH of stay in hospitals; *NERVOUS system abnormalities; *QUESTIONNAIRES; *SPINAL fusion; *TREATMENT effectiveness; *RETROSPECTIVE studies - Source:
- Additional Information
- Subject Terms:
- Abstract:
Background: Fukuyama congenital muscular dystrophy (FCMD) is one of the most common congenital progressive muscular dystrophies in Japan. Some patients develop a severe spinal deformity that leads to an unstable sitting position or pain. Since 2008, we have treated FCMD using posterior spinal fusion. This study reports the short-term clinical and radiographic results of posterior spinal correction and fusion in FCMD.Methods: We retrospectively reviewed 11 consecutive FCMD patients, average age 13 years old, treated with posterior spinal instrumentation and fusion between 2008 and 2015. All patients were non-ambulatory and complained about difficulty sitting and/or buttock pain. Posterior spinal correction was performed to halt progression of spinal deformity and improve their sitting balance. Assessment was performed clinically and with radiological measurements at a mean follow up period of 34.5 months. To evaluate functional status of patients after surgery objectively, a Muscular Dystrophy Spine Questionnaire (MDSQ) was obtained at the final follow up.Results: The mean height, weight and body mass index of the patients were 144.1 ± 11.8 cm, 26.5 ± 8.7 kg and 12.5 ± 2.6 kg/m2. The average intensive care unit stay was 1.3 days. Five patients had complications related to surgery. The mean preoperative major Cobb angle and pelvic obliquity (PO) were 65.5 ± 41.7° and 31.4 ± 28.9°, respectively, were corrected to 34.4 ± 29.7° and 20.0 ± 18.7° just after the surgery, and were maintained at 35.1 ± 29.9° and 20.5 ± 21.1° at the final follow up. The average MDSQ score was 35.8 ± 13.2 at the final follow up.Conclusion: Posterior spinal correction and fusion in FCMD achieved good radiographic results and clinical improvement with acceptable perioperative complications. FCMD patients are mentally impaired and physically small, so post-operative observation and close attention to perioperative complications are critical. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Journal of Orthopaedic Science is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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