منو منو

Neuromuscular Scoliosis

Introduction

  • Defined as an irregular spinal curvature caused by disorders of the brain, spinal cord, and muscular system.
  • Neurogenic curves (relative to idiopathic curves) tend to be
    • more rapidly progressive
    • may progress after maturity
    • associated with pelvic obliquity
    • are longer and involve more vertebrae (may involve cervical vertebrae)
    • have a higher rate of pulmonary complications with surgery

Classification & Treatment

  • Outcomes
    • surgical correction of spinal fusion is only treatment that has a documented beneficial impact on deformity
    • parents and caretakers report excellent improvement in the child's quality of life after deformity correction
    • Increased risk of wound complications with: 
      • Poor nutritional status (serum albumin <3.5 g/dL)
      • Immunocompromised status (WBC <1,500 cells/ucL)
      • Presence of a ventriculoperitoneal (VP) shunt
      • Severe spastic quadriplegia nonambulatory status with seizures

 

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