2213 Spinal Rod Migration and Pelvic Perforation in a Patient with Severe Cerebral Palsy and Scoliosis
To describe a rare occurrence of spinal hardware migration and perforation into the pelvic peritoneum. To describe the evaluation of the pelvic organs with perforating trauma.
Conclusions: Given the importance of accuracy in height measures to evaluate infant health, it is crucial to carry out more researches in order to safely establish an association between both estimate and real statures. The development of anthropometric protocols, emerged from such researches, would benefit the follow-up of children with severe psychomotor disabilities.RESUMO Objetivo: Revisar estudos que avaliam correspond ência entre a altura estimada por medidas segmentares e a estatura real de crianças com paralisia cerebral. Fonte de dados: Revisão sistemática da literatura entre 1995 e 2018...
This study aimed to develop a risk score based on 5-year-old children with CP to predict the risk of scoliosis before the age of 16.Patients and methods - This prospective registry study included 654 children with CP in Sweden born in 2000 to 2003 and registered with the Swedish CP follow-up program (CPUP) at the age of 5 years, including all Gross Motor Function Classification System (GMFCS) levels. 92 children developed a scoliosis before the age of 16 years. Univariable and multivariable logistic regressions were used to analyze 8 potential predictors for scoliosis: GMFCS, sex, spastic subtype, epilepsy, hip surgery, mi...
ConclusionAdults with spastic diplegic CP who received their first orthopaedic intervention more than 15 years ago (based on ISA) showed similar incidence of spinal deformities as reported in the younger CP population, suggesting stability of spinal curvature into adulthood.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Authors: Weigl DM Abstract BACKGROUND: In non-ambulatory patients with cerebral palsy, the presence of scoliosis has a major impact on health and quality of life. The aim of this review is to raise awareness of caregivers from various professions to the extent of the problem, to explain the natural history of neuromuscular scoliosis and its pathophysiology, and to describe up-to-date optional conservative and surgical treatments. PMID: 31713365 [PubMed - indexed for MEDLINE]
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Roland Howard, Paul Sponseller, Suken A. Shah, Firoz Miyanji, Amer Samdani, Peter Newton, Burt Yaszay
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Nicholas Buckler, Margaret Sun, Mason Al Nouri, Majella Vaughan, Tricia St. Hilaire, Hiroko Matsumoto, Paul Sponseller, John Smith, George Thompson, Jason Howard, Ron El-Hawary, Pediatric Spine Study Group
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Margaret Sun, Nicholas Buckler, Mason Al Nouri, Majella Vaughan, Tricia St. Hilaire, Paul Sponseller, John Smith, George Thompson, Jason Howard, Ron El-Hawary, Pediatric Spine Study Group
This article provides insight into the various imaging techniques for these musculoskeletal issues and aids in better care for patients with cerebral palsy.
Conclusion. At 2 years after PSF to treat CP-related scoliosis, patients had no significant differences in the degree of correction achieved, the maintenance of correction, or the rate of complications between those whose fusion constructs used cross-links and those whose constructs did not. Level of Evidence: 3