MINIMALLY INVASIVE BIPOLAR FIXATION FOR THE TREATMENT OF NEUROMUSCULAR SCOLIOSIS-MILADI’s TECHNIQUE

Helton Luiz  Aparecido Defino; Matheus P Defino; Thiago Dorigão

doi:10.5937/sanamed0-52708

Helton Luiz Aparecido Defino Sao Paulo University, Ribeirao Preto Medical School, Department of Orthopedics and Anesthesiology, São Paulo, Brazil
Matheus P Defino Sao Paulo University, Ribeirao Preto Medical School, Department of Orthopedics and Anesthesiology, São Paulo, Brazil
Thiago Dorigão Sao Paulo University, Ribeirao Preto Medical School, Department of Orthopedics and Anesthesiology, São Paulo, Brazil

DOI: https://doi.org/10.5937/sanamed0-52708

Keywords: neuromuscular scoliosis, minimally invasive technique, iliosacral screws

Abstract

This paper presents the minimally invasive bipolar technique, also known as Miladi’s technique, for the treatment of neuromuscular scoliosis. This approach involves bipolar spinal fixation extending from T1 to the pelvis. Proximal fixation is achieved using laminar and pedicular hooks configured as claws, while distal fixation employs iliosacral connectors and screws. The proximal and distal anchors are connected by a bilateral double-rod sliding construct, allowing for correction of spinal curvature and pelvic obliquity. This technique demonstrates reduced morbidity and complication rates compared to traditional methods.

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