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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A02486-47 | Other Identifier | ID-RCB |
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| Name | Class |
|---|---|
| URC-CIC Paris Descartes Necker Cochin | OTHER |
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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.
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.
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| Measure | Description | Time Frame |
|---|---|---|
| Change in the score of CPCHILD (section 2) questionnaire from 6 months before spinal surgery at 6 month after spinal surgery | to assess the quality criteria of walk | 6 months before and 6 months after spinal surgery |
| Change in Clinical Gait Analysis from 6 months before spinal surgery at 6 month after spinal surgery | to assess the quantitative criteria of walk | 6 months before and 6 months after spinal surgery |
| Change in 6-minute walking test from 6 months before spinal surgery at 6 month after spinal surgery | to assess the quantitative criteria of walk | 6 months before and 6 months after spinal surgery |
| Measure | Description | Time Frame |
|---|---|---|
| presence / absence of cardiac impairment | cardiac evaluation to evaluate assess if cardiac impairment before spinal surgery is a the good or bad prognosis for walking | 6 months before spinal surgery |
| presence / absence of respiratory impairment |
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Inclusion Criteria:
Exclusion Criteria:
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Patients under 18 years of age who are walking requiring spinal instrumentation taking the pelvis taken care of in the orthopedic department of NECKER.
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| Name | Affiliation | Role |
|---|---|---|
| Lotfi MILADI, MD | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Necker Enfants Malades | Paris | 75015 | France |
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| ID | Term |
|---|---|
| D012600 | Scoliosis |
| ID | Term |
|---|---|
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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pulmonary evaluation to assess if respiratory impairment before spinal surgery is a good or bad prognosis for walking
| 6 months before spinal surgery |
| presence / absence of neurological impairment | neurological evaluation to assess if neurology impairment before spinal surgery is a good or bad prognosis for walking | 6 months before spinal surgery |
| Change in reducibility of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | to evaluate the good or bad prognosis for walking | 6 months before and 6 months after spinal surgery |
| Change in "holding of the head " of scoliosis : from 6 months before spinal surgery at 6 month after spinal surgery | to evaluate the good or bad prognosis for walking | 6 months before and 6 months after spinal surgery |
| Change in curvature of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | to evaluate the good or bad prognosis for walking | 6 months before and 6 months after spinal surgery |
| Change in imbalance of scoliosis from 6 months before spinal surgery at 6 month after spinal surgery | to evaluate the good or bad prognosis for walking | 6 months before and 6 months after spinal surgery |