Brief Article
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World J Orthop. Oct 18, 2013; 4(4): 279-286
Published online Oct 18, 2013. doi: 10.5312/wjo.v4.i4.279
Percutaneous pelvic osteotomy in cerebral palsy patients: Surgical technique and indications
Federico Canavese, Marie Rousset, Antoine Samba, Geraldo de Coulon
Federico Canavese, Marie Rousset, Antoine Samba, Pediatric Surgery Department, University Hospital Estaing, 63003 Clermont-Ferrand, France
Geraldo de Coulon, Pediatric Orthopedic Surgery Department, Geneva University Hospitals, Geneva, Switzerland
Author contributions: Canavese F performed all the surgical procedures, designed the study and wrote the manuscript; Rousset M analyzed the data, was involved in editing the manuscript and gave final approval of the version to be published; Samba A and de Coulon G revised the manuscript and gave final approval of the version to be published.
Correspondence to: Federico Canavese, MD, PhD, Professor of Pediatric Surgery, Pediatric Surgery Department, University Hospital Estaing, 1Place Lucie et Raymond Aubrac, 63003 Clermont-Ferrand, France. canavese_federico@yahoo.fr
Telephone: +33-4-73750293 Fax: +33-4-73750291
Received: March 3, 2013
Revised: June 16, 2013
Accepted: June 19, 2013
Published online: October 18, 2013
Core Tip

Core tip: In severe non-ambulatory, Gross Motor Function Classification System IV and V cerebral palsy patients with acetabular dysplasia and progressive hip subluxation or dislocation, most patients can achieve a painless and stable hip when a pelvic osteotomy through a minimally invasive surgical approach is performed in conjunction with a varus, derotational, shortening femoral osteotomy and soft tissue release surgery. Pelvic osteotomy through a less invasive surgical approach appears to be a valid alternative with an outcome similar to that of standard techniques and allows for less muscle stripping and blood loss and a shorter operating time.