Scoliosis
Conditions
Keywords
Walking analysis, spinal surgery, scoliosis, pelvic fixation
Brief summary
The purpose of this study is to determine the effect of double end spinal instrumentation from the upper thoracic to the pelvis with sacro-iliac fixation on the gait of ambulating patients with pelvic obliquity 6 month after surgery.
Detailed description
The pelvic fixations were used since many years for these patients. However there are no prospective study investigating the gait evolution before and after a surgical treatment by long spinal instrumentation with pelvic fixation. Investigators are planning to analyze the gait, before and 6 months after surgery. Investigators will use 2 qualitative criterions with a gait analysis and a walking test, and 1 quantitative criterion with a questionnaire assessing the patient's functional change. Investigators will use as surgical treatment a long double end spinal fixation without fusion, investigators use an ilio sacral screw as pelvic anchor on each side. Evaluation of changes in gait after pelvic fixation of a long spinal instrumentation will make it possible to extend or, on the contrary, restrict the indications for pelvic fixation surgery in walking patients, who are candidates for pelvic fixation.
Interventions
None listed
Sponsors
URC-CIC Paris Descartes Necker Cochin
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patient under 18 walking or strolling * Patient with scoliosis requiring long instrumentation taking pelvis with iliosacral screws
Exclusion criteria
* Patient presenting a predictable pejorative evolution of the walk due to the pathology of the patient within 2 years * Patient or parent who has notified their refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the score of CPCHILD (section 2) questionnaire from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to assess the quality criteria of walk |
| Change in Clinical Gait Analysis from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to assess the quantitative criteria of walk |
| Change in 6-minute walking test from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to assess the quantitative criteria of walk |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in reducibility of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to evaluate the good or bad prognosis for walking |
| Change in holding of the head of scoliosis : from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to evaluate the good or bad prognosis for walking |
| presence / absence of cardiac impairment | 6 months before spinal surgery | cardiac evaluation to evaluate assess if cardiac impairment before spinal surgery is a the good or bad prognosis for walking |
| Change in imbalance of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to evaluate the good or bad prognosis for walking |
| Change in curvature of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | 6 months before and 6 months after spinal surgery | to evaluate the good or bad prognosis for walking |
| presence / absence of respiratory impairment | 6 months before spinal surgery | pulmonary evaluation to assess if respiratory impairment before spinal surgery is a good or bad prognosis for walking |
| presence / absence of neurological impairment | 6 months before spinal surgery | neurological evaluation to assess if neurology impairment before spinal surgery is a good or bad prognosis for walking |
Countries
France
Outcome results
None listed