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.
Thomson
J D
JD
Newington Department of Orthopaedic Surgery, Connecticut Children's Medical Center (CCMC), Hartford, CT 06106, USA.
Banta
J V
JV
D016063:Blood Loss, Surgical; D002547:Cerebral Palsy / Q000150:complications*; D006801:Humans; D012600:Scoliosis / Q000150:complications* / Q000601:surgery*; D013123:Spinal Fusion; D016896:Treatment Outcome