New minimally invasive surgery could ease recovery for kids with spine curvature

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age 6 to 20 years at the time of enrollment. * Diagnosis of paralytic scoliosis secondary to spinal cord injury during childhood. * Severe pelvic obliquity, defined as pelvic obliquity angle greater than 15 degrees on sitting full-spine anteroposterior radiographs. * Major coronal scoliosis curve with Cobb angle greater than 40 degrees, or progressive deformity considered to require surgical correction by the treating spine deformity team. * Nonambulatory status or severe lower-limb motor dysfunction after spinal cord injury. * Planned surgical correction requiring spinopelvic fixation. * Ability to undergo sitting full-spine radiographic assessment before surgery and during follow-up. * Written informed consent provided by the parent or legal guardian, with participant assent when applicable. Exclusion Criteria: * Idiopathic scoliosis, congenital scoliosis, syndromic scoliosis, or spinal deformity caused by etiologies other than spinal cord injury. * Neuromuscular scoliosis caused by cerebral palsy, spinal muscular atrophy, muscular dystrophy, myelomeningocele, poliomyelitis, or other primary neuromuscular diseases. * Previous spinal deformity correction surgery or previous long-segment spinal fusion. * Active systemic infection or uncontrolled local infection at the planned surgical site. * Severe pressure ulcer, osteomyelitis, or soft tissue condition that precludes safe posterior spinal surgery. * Severe cardiopulmonary, hematologic, hepatic, renal, or other systemic disease that makes the participant unsuitable for major spinal surgery. * Coagulation disorder or other condition associated with unacceptable bleeding risk. * Inability to complete the planned follow-up schedule. * Participation in another interventional trial that may affect the outcomes of this study.