Neuromuscular Spine Deformity

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.

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