Transiliac-Shortening Osteotomy to Treat Ischial Pressure Injury due to Fixed Pelvic Obliquity: A Case Report.

Creator(s)

Richard M. Schwend, Children's Mercy HospitalFollow
Brandon T Nguyen
McKenna C. Noe, Children's Mercy Kansas City
John Anderson, Children's Mercy HospitalFollow
Shao Jiang, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

5-17-2024

Identifier

DOI: 10.2106/JBJS.CC.23.00557

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.

Journal Title

JBJS Case Connect

Volume

14

Issue

2

MeSH Keywords

Humans; Male; Adolescent; Osteotomy; Ischium; Pressure Ulcer; Spinal Fusion; Cerebral Palsy; Scoliosis; Ilium

Keywords

Osteotomy; Ischium; Pressure Ulcer; Spinal Fusion; Cerebral Palsy; Scoliosis; Ilium

Recommended Citation

Schwend RM, Nguyen BT, Noe MC, Anderson JT, Jiang S. Transiliac-Shortening Osteotomy to Treat Ischial Pressure Injury due to Fixed Pelvic Obliquity: A Case Report. JBJS Case Connect. 2024;14(2):e23.00557. Published 2024 May 17. doi:10.2106/JBJS.CC.23.00557