Neuromuscular Spine deformity

Paul David Sponseller, Oussama Abousamra

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Scoliosis is common in children with neuromuscular disorders. Impaired trunk balance and the strength of trunk muscles are important factors in the pathomechanism of scoliosis. The specific characteristics of each neuromuscular disorder determine the efficacy of nonsurgical management, the indications for surgery, the time of intervention, and the expected postoperative complications. Segmental posterior spinal fusion has been an effective definitive treatment for neuromuscular scoliosis, and the role of growth-modulating devices in younger children has been recently reported. In general, the complication rate is higher in patients with neuromuscular conditions than in children and adolescents who have scoliosis and no comorbidities. Treatment techniques and the postoperative course differ in each disorder. Despite advances in scoliosis surgery and an improved understanding of underlying neuromuscular mechanisms in many disorders, further research is needed to provide optimal orthopaedic care for children with neuromuscular disorders and scoliosis.

Original languageEnglish (US)
Title of host publicationOrthopaedic Knowledge Update
Subtitle of host publicationSpine 5
PublisherWolters Kluwer Health
Pages319-334
Number of pages16
ISBN (Electronic)9781975118419
ISBN (Print)9781975117320
StatePublished - Jan 1 2018

Fingerprint

Scoliosis
Spine
Spinal Fusion
Muscle Strength
Child Care
Orthopedics
Comorbidity
Equipment and Supplies
Therapeutics
Growth
Research

Keywords

  • Cerebral palsy
  • Duchenne muscular dystrophy
  • Neuromuscular scoliosis
  • Rett syndrome
  • Spinal muscular atrophy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sponseller, P. D., & Abousamra, O. (2018). Neuromuscular Spine deformity. In Orthopaedic Knowledge Update: Spine 5 (pp. 319-334). Wolters Kluwer Health.

Neuromuscular Spine deformity. / Sponseller, Paul David; Abousamra, Oussama.

Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, 2018. p. 319-334.

Research output: Chapter in Book/Report/Conference proceedingChapter

Sponseller, PD & Abousamra, O 2018, Neuromuscular Spine deformity. in Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, pp. 319-334.
Sponseller PD, Abousamra O. Neuromuscular Spine deformity. In Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health. 2018. p. 319-334
Sponseller, Paul David ; Abousamra, Oussama. / Neuromuscular Spine deformity. Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, 2018. pp. 319-334
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