[Spinal disorders in cerebral palsy--surgical procedure]

Area of Science:

• Neurology
• Orthopedics
• Spinal Surgery

Background:

• Scoliosis is common in cerebral palsy (CP), particularly with severe neurological impairment like spastic quadriplegia.
• Neuromuscular spinal deformities in CP can progress post-growth, making orthotic treatment unpredictable.
• Hip pathology correlates with pelvic obliquity but doesn't cause scoliosis in CP.

Purpose of the Study:

• To outline the relationship between cerebral palsy severity and scoliosis.
• To discuss treatment considerations for neuromuscular spinal deformities in CP.
• To highlight optimal surgical strategies for complex spinal deformities in CP patients.

Main Methods:

• Review of existing literature on scoliosis in cerebral palsy.
• Analysis of factors influencing spinal deformity progression and treatment outcomes.
• Evaluation of surgical techniques, including spinal fixation and anterior arthrodesis.

Main Results:

• Scoliosis incidence and severity correlate with neurological involvement in CP.
• Orthotic management of scoliosis in CP has unpredictable success rates.
• Segmental spinal fixation is preferred, with anterior arthrodesis indicated for specific rigid or pelvic-involved deformities.

Conclusions:

• Effective management of scoliosis in cerebral palsy requires understanding the link to neurological severity.
• Preoperative nutritional assessment is crucial for reducing complications in CP patients undergoing spinal surgery.
• Segmental spinal fixation and appropriate arthrodesis techniques are vital for successful surgical outcomes in complex spinal deformities.