title: Evidence-based review of bone strength in children and youth with cerebral palsy.
abstract: Children with cerebral palsy have various risk factors for compromised bone health. Evidence concerning their bone fragility is gathering; however, there is no consensus regarding risk factors, indications for evaluation, follow-up, or treatment. We performed an evidence-based review targeted to address the following questions concerning children with cerebral palsy: Is bone strength impaired and what are the risk factors? Are these children at increased risk for bone fractures? What are the relations between bone mineral density and fracture risk? What methods can be used for bone health assessment? How can bone strength be improved? Currently, the most acceptable method for evaluating bone status in children is dual-energy x-ray absorptiometry. Evidence demonstrates reduced bone mass in children with cerebral palsy; yet, no clear association with fractures. Preventive methods are suggested.
authors.affiliation: Maccabi Healthcare Services, Jerusalem & Hashfela District, Israel. cohenm4@gmail.com
authors.forename: Michal
authors.initials: M
authors.lastname: Cohen
authors.forename: Eli
authors.initials: E
authors.lastname: Lahat
authors.forename: Tzvy
authors.initials: T
authors.lastname: Bistritzer
authors.forename: Amir
authors.initials: A
authors.lastname: Livne
authors.forename: Eli
authors.initials: E
authors.lastname: Heyman
authors.forename: Marianna
authors.initials: M
authors.lastname: Rachmiel