Management of spinal deformity in cerebral palsy: Conservative treatment
Abstract Introduction The incidence of scoliosis in Cerebral Palsy (CP) is directly related to the Gross Motor Function Classification System (GMFCS) level. The natural history of untreated scoliosis in patients with CP is one of progression and factors implicated in deterioration include type of in...
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| Veröffentlicht in: | Journal of children's orthopaedics 2013-11, Vol.7 (5), p.415-418 |
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| creator | Rutz, Erich Brunner, Reinald |
| description | Abstract
Introduction
The incidence of scoliosis in Cerebral Palsy (CP) is directly related to the Gross Motor Function Classification System (GMFCS) level. The natural history of untreated scoliosis in patients with CP is one of progression and factors implicated in deterioration include type of involvement (quadriplegia), poor functional status (nonambulatory, GMFCS levels IV and V), and curve location (thoracolumbar). The generally accepted incidence in the overall CP population is 20–25 %.
Materials and methods
We recently published our short term results for 31 children treated with a short lumbar brace. In cases of a “positive hands up test” we recommend a short lumbar brace, and in patients with scoliosis with a Cobb angle >20° a double shelled brace.
Results
In our study, there was a correction of 37 % for the lumbar Cobb angle and 39 % for the thoracic Cobb angle at a mean follow-up of 28 months.
Conclusion
The incidence of scoliosis in the overall CP population is 20–25 % and is directly related to the GMFCS level. Therefore, we recommend early treatment and prescribe a short lumbar brace in patients with dynamic instability of the trunk, and in scoliosis with a Cobb angle >20° a double shelled brace. |
| doi_str_mv | 10.1007/s11832-013-0516-5 |
| format | Article |
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Introduction
The incidence of scoliosis in Cerebral Palsy (CP) is directly related to the Gross Motor Function Classification System (GMFCS) level. The natural history of untreated scoliosis in patients with CP is one of progression and factors implicated in deterioration include type of involvement (quadriplegia), poor functional status (nonambulatory, GMFCS levels IV and V), and curve location (thoracolumbar). The generally accepted incidence in the overall CP population is 20–25 %.
Materials and methods
We recently published our short term results for 31 children treated with a short lumbar brace. In cases of a “positive hands up test” we recommend a short lumbar brace, and in patients with scoliosis with a Cobb angle >20° a double shelled brace.
Results
In our study, there was a correction of 37 % for the lumbar Cobb angle and 39 % for the thoracic Cobb angle at a mean follow-up of 28 months.
Conclusion
The incidence of scoliosis in the overall CP population is 20–25 % and is directly related to the GMFCS level. Therefore, we recommend early treatment and prescribe a short lumbar brace in patients with dynamic instability of the trunk, and in scoliosis with a Cobb angle >20° a double shelled brace.</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1007/s11832-013-0516-5</identifier><identifier>PMID: 24432104</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Cerebral palsy ; Children & youth ; Current Concept Review ; Hands ; Medicine ; Medicine & Public Health ; Neuromuscular diseases ; Orthopedics ; Paralysis ; Patients ; Pediatrics ; Scoliosis ; Traumatic Surgery</subject><ispartof>Journal of children's orthopaedics, 2013-11, Vol.7 (5), p.415-418</ispartof><rights>2013 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>EPOS 2013</rights><rights>2013. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-bca80f33f62db42f4828700c9c90c4a82d1c29bc9b6c3dfa93b8f79e4c7bc1c33</citedby><cites>FETCH-LOGICAL-c575t-bca80f33f62db42f4828700c9c90c4a82d1c29bc9b6c3dfa93b8f79e4c7bc1c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838520/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838520/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21946,27832,27903,27904,41099,42168,44924,45312,51555,53770,53772</link.rule.ids><linktorsrc>$$Uhttps://doi.org/10.1007/s11832-013-0516-5$$EView_record_in_Springer_Nature$$FView_record_in_$$GSpringer_Nature</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24432104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rutz, Erich</creatorcontrib><creatorcontrib>Brunner, Reinald</creatorcontrib><title>Management of spinal deformity in cerebral palsy: Conservative treatment</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><addtitle>J Child Orthop</addtitle><description>Abstract
Introduction
The incidence of scoliosis in Cerebral Palsy (CP) is directly related to the Gross Motor Function Classification System (GMFCS) level. The natural history of untreated scoliosis in patients with CP is one of progression and factors implicated in deterioration include type of involvement (quadriplegia), poor functional status (nonambulatory, GMFCS levels IV and V), and curve location (thoracolumbar). The generally accepted incidence in the overall CP population is 20–25 %.
Materials and methods
We recently published our short term results for 31 children treated with a short lumbar brace. In cases of a “positive hands up test” we recommend a short lumbar brace, and in patients with scoliosis with a Cobb angle >20° a double shelled brace.
Results
In our study, there was a correction of 37 % for the lumbar Cobb angle and 39 % for the thoracic Cobb angle at a mean follow-up of 28 months.
Conclusion
The incidence of scoliosis in the overall CP population is 20–25 % and is directly related to the GMFCS level. Therefore, we recommend early treatment and prescribe a short lumbar brace in patients with dynamic instability of the trunk, and in scoliosis with a Cobb angle >20° a double shelled brace.</description><subject>Cerebral palsy</subject><subject>Children & youth</subject><subject>Current Concept Review</subject><subject>Hands</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuromuscular diseases</subject><subject>Orthopedics</subject><subject>Paralysis</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Scoliosis</subject><subject>Traumatic Surgery</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNUctKAzEUDaLYWv0ANzLgxs3Um9dMxoUgxRdU3Og6ZDJJndKZ1GRa6N-b0lofC3GVkPO45-YgdIphiAHyy4CxoCQFTFPgOEv5HupjkdGUcCb2d3eCe-gohClABkUhDlGPMEYJBtZHD0-qVRPTmLZLnE3CvG7VLKmMdb6pu1VSt4k23pQ-vs7VLKyukpFrg_FL1dVLk3TeqG6tPkYHNuLmZHsO0Ovd7cvoIR0_3z-Obsap5jnv0lIrAZZSm5GqZMQyQUQOoAtdgGZKkAprUpS6KDNNK6sKWgqbF4bpvNRYUzpA1xvf-aJsTKXj6JhNzn3dKL-STtXyJ9LWb3LilpIKKjiBaHCxNfDufWFCJ5s6aDObqda4RZCYM8CQcYYj9fwXdeoWPn5QkIQLxnJO8nUivGFp70Lwxu7CYJDrnuSmJxl7kuueJI-as-9b7BSfxUQC2RBChNqJ8V-j_3IdbkWx0v8IPgAZMKzD</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Rutz, Erich</creator><creator>Brunner, Reinald</creator><general>SAGE Publications</general><general>Springer Berlin Heidelberg</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Management of spinal deformity in cerebral palsy: Conservative treatment</title><author>Rutz, Erich ; Brunner, Reinald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c575t-bca80f33f62db42f4828700c9c90c4a82d1c29bc9b6c3dfa93b8f79e4c7bc1c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cerebral palsy</topic><topic>Children & youth</topic><topic>Current Concept Review</topic><topic>Hands</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuromuscular diseases</topic><topic>Orthopedics</topic><topic>Paralysis</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Scoliosis</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rutz, Erich</creatorcontrib><creatorcontrib>Brunner, Reinald</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Rutz, Erich</au><au>Brunner, Reinald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of spinal deformity in cerebral palsy: Conservative treatment</atitle><jtitle>Journal of children's orthopaedics</jtitle><stitle>J Child Orthop</stitle><addtitle>J Child Orthop</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>7</volume><issue>5</issue><spage>415</spage><epage>418</epage><pages>415-418</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Abstract
Introduction
The incidence of scoliosis in Cerebral Palsy (CP) is directly related to the Gross Motor Function Classification System (GMFCS) level. The natural history of untreated scoliosis in patients with CP is one of progression and factors implicated in deterioration include type of involvement (quadriplegia), poor functional status (nonambulatory, GMFCS levels IV and V), and curve location (thoracolumbar). The generally accepted incidence in the overall CP population is 20–25 %.
Materials and methods
We recently published our short term results for 31 children treated with a short lumbar brace. In cases of a “positive hands up test” we recommend a short lumbar brace, and in patients with scoliosis with a Cobb angle >20° a double shelled brace.
Results
In our study, there was a correction of 37 % for the lumbar Cobb angle and 39 % for the thoracic Cobb angle at a mean follow-up of 28 months.
Conclusion
The incidence of scoliosis in the overall CP population is 20–25 % and is directly related to the GMFCS level. Therefore, we recommend early treatment and prescribe a short lumbar brace in patients with dynamic instability of the trunk, and in scoliosis with a Cobb angle >20° a double shelled brace.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24432104</pmid><doi>10.1007/s11832-013-0516-5</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cerebral palsy Children & youth Current Concept Review Hands Medicine Medicine & Public Health Neuromuscular diseases Orthopedics Paralysis Patients Pediatrics Scoliosis Traumatic Surgery |
| title | Management of spinal deformity in cerebral palsy: Conservative treatment |
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