Scoliosis in cerebral palsy: an overview and recent results.
The natural history of scoliosis in cerebral palsy as well as the treatments that include observation, bracing, and surgery are reviewed. If surgery is indicated, a careful preoperative evaluation is essential, focusing especially on the patient's nutritional, gastrointestinal, neurologic, and orthopedic systems. Intraoperative and perioperative issues such as blood loss control are reviewed. The Luque-Galveston method of instrumentation for scoliosis secondary to cerebral palsy is our preferred method of treatment. Our recent results compare favorably with the literature with fewer complications.
Newington Department of Orthopaedic Surgery, Connecticut Children's Medical Center (CCMC), Hartford, CT 06106, USA.
J D
JD
Thomson
J V
JV
Banta
D016063:Blood Loss, Surgical; D002547:Cerebral Palsy / Q000150:complications*; D006801:Humans; D012600:Scoliosis / Q000150:complications* / Q000601:surgery*; D013123:Spinal Fusion; D016896:Treatment Outcome