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Journal of Bone and Joint Surgery, 1941;23:335-353.
© 1941 by The Journal of Bone and Joint Surgery, Inc

A STUDY OF PARALYTIC SCOLIOSIS BASED ON FIVE HUNDRED CASES OF POLIOMYELITIS

PAUL C. COLONNA M.D.1 and FREDERICK VOM SAAL M.D.1

1 Department of Orthopaedic Surgery, University of Oklahoma School of Medicine, Oklahoma City

Poliomyelitic involvement of the trunk muscles is a serious condition, and the patient may be completely incapacitated by the resulting severe deformities.

A scoliosis has developed in 150, or 30 per cent. of 500 chronic poliomyelitis patients consecutively examined.

The most important factors for the development of the curves have been a lack of early absolute recumbency, the presence of a marked asymmetrical muscle paralysis, and a lack of adequate supportive treatment from a conservative and operative standpoint.

Twenty-one additional patients were found with symmetrical trunk paralysis, in whom scoliosis has not developed. It is the authors' contention that a progressive scoliosis will usually not develop in cases with balanced trunk paralysis.

Seventeen patients, or 3.4 per cent. of the total cases, had a complete recovery from their known paralysis.

Various types of operative and non-operative treatment, with certain modifications, have been found useful in the fusion operation for paralytic scoliosis.


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