Transiliac-Shortening Osteotomy to Treat Ischial Pressure Injury due to Fixed Pelvic Obliquity: A Case Report
Document Type
Article
Publication Title
JB&JS Case Connector
Abstract
Case: A 17-year-old adolescent boy with Gross Motor Function Classification System 5 cerebral palsy and neuromuscular scoliosis underwent posterior spinal fusion and segmental spinal instrumentation from T3 to the pelvis. He developed a right ischial pressure injury a few months postoperatively, which persisted despite nonoperative measures. He subsequently underwent an ipsilateral transiliac-shortening osteotomy 16 months after spinal surgery to treat his residual pelvic obliquity and the ischial pressure injury, which healed completely. At the 1-year follow-up visit, there were no further signs of pressure injury.
Conclusion: This case report describes transiliac-shortening osteotomy as a viable treatment option for non-healing ischial pressure injuries secondary to fixed pelvic obliquity.
DOI
10.2106/JBJS.CC.23.00557
Publication Date
5-17-2024
Keywords
pressure injury, pelvic obliquity, neuromuscular scoliosis, ischium, pelvic osteotomy, spinal fusion, cerebral palsy, CP, transiliac osteotomy, spinal deformity, transiliac shortening, transiliac lengthening
ISSN
2160-3251
Recommended Citation
Schwend RM, Nguyen B, Noe MC, Anderson JT, Jiang S. Transiliac-Shortening Osteotomy to Treat Ischial Pressure Injury due to Fixed Pelvic Obliquity: A Case Report. JB&JS Case Connector. 2024; 14(2). doi: 10.2106/JBJS.CC.23.00557.
