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 |
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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. |
doi_str_mv | 10.3944/AOTT.2009.149 |
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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.</description><subject>Adolescent</subject><subject>Bone Screws</subject><subject>Cerebral Palsy - complications</subject><subject>Child</subject><subject>Humans</subject><subject>Risk Factors</subject><subject>Scoliosis - etiology</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion - instrumentation</subject><issn>1017-995X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1rwzAURTW0NGnasWvJ0m52JT_JisZg-gWBLC50E8_SM7jYsSvZQ_59HRLodOHewx0OYw-Cp2CkfNnuyzLNODepkOaKLQUXOjFGfS_YbYw_nEtlAG7YQsz0BpRasqeCAlUB2_WAbTyu8eDXcWgOc-Gp7kPXjA3FO3ZdzzPdX3LFvt5ey-Ij2e3fP4vtLnEAfEwUyVo7rRByAlDoHaJXzmckkEjmxE2FmmfSb4xBqoBrnxnQpDfGeURYsefz7xD634niaLsmOmpbPFA_RZvrTCpQMIPJGXShjzFQbYfQdBiOVnB7cmFPLuzJhZ1dzPzj5XiqOvL_9EUE_AFFk1vp</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Yazici, Muharrem</creator><creator>Senaran, Hakan</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Cerebral palsy and spinal deformities</title><author>Yazici, Muharrem ; Senaran, Hakan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c330t-5e4f7c75a36e335adcaad5cd2e1aee46e09ba7024d899aeb307d2937e789cdaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; tur</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Bone Screws</topic><topic>Cerebral Palsy - complications</topic><topic>Child</topic><topic>Humans</topic><topic>Risk Factors</topic><topic>Scoliosis - etiology</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yazici, Muharrem</creatorcontrib><creatorcontrib>Senaran, Hakan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica et traumatologica turcica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yazici, Muharrem</au><au>Senaran, Hakan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral palsy and spinal deformities</atitle><jtitle>Acta orthopaedica et traumatologica turcica</jtitle><addtitle>Acta Orthop Traumatol Turc</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>43</volume><issue>2</issue><spage>149</spage><epage>155</epage><pages>149-155</pages><issn>1017-995X</issn><abstract>Cerebral palsy is a common static encephalopathy and can present as multiple musculoskeletal problems. 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source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
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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