Cerebral palsy and spinal deformities

Cerebral palsy is a common static encephalopathy and can present as multiple musculoskeletal problems. Increased peripheral muscle tone causes joint contractures and decreased functional capacity. The risk for scoliosis increases parallel with the severity of musculoskeletal involvement. Scoliosis a...

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Veröffentlicht in:Acta orthopaedica et traumatologica turcica 2009-03, Vol.43 (2), p.149-155
Hauptverfasser: Yazici, Muharrem, Senaran, Hakan
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Senaran, Hakan
description Cerebral palsy is a common static encephalopathy and can present as multiple musculoskeletal problems. Increased peripheral muscle tone causes joint contractures and decreased functional capacity. The risk for scoliosis increases parallel with the severity of musculoskeletal involvement. Scoliosis adversely affects the functional capacity, daily care, and nutrition in disabled children. Conservative treatments including physical therapy, bracing, and botulinum toxin injections do not prevent the progression of scoliosis in most of the patients and surgical treatment becomes mandatory. With the use of pedicle screws, three-plane fixation is possible, making posterior instrumentation and fusion effective in correction of severe curves and obviating anterior surgery.
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subjects Adolescent
Bone Screws
Cerebral Palsy - complications
Child
Humans
Risk Factors
Scoliosis - etiology
Scoliosis - surgery
Spinal Fusion - instrumentation
title Cerebral palsy and spinal deformities
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