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Published on: March 27, 2016
Hip disorders in children who have spinal cord injury
James J McCarthy1, Randal R Betz
1Shriners Hospital for Children-Philadelphia, 3551 North Broad Street, Philadelphia, PA 19140, USA. JMcCarthy@shrinenet.org
Insights
Hip disorders in children with paralysis, particularly spinal cord injury (SCI), require focused assessment and treatment strategies. This review addresses the unique challenges and management of hip conditions in pediatric SCI patients.
Area of Science:
- Pediatric Orthopedics
- Neurology
- Rehabilitation Medicine
Background:
- Hip disorders are common in children with underlying paralysis.
- Spinal cord injury (SCI) affects approximately 2000 children annually in the US.
- Limited literature exists on pediatric SCI hip disorders compared to myelodysplasia.
Purpose of the Study:
- To review the assessment and treatment of hip disorders in children with spinal cord injury (SCI).
- To highlight the commonalities in hip disorders across various pediatric neurologic conditions.
Main Methods:
- Literature review focusing on pediatric SCI and hip pathology.
- Synthesis of existing knowledge on diagnosis and management.
Main Results:
- Children with SCI experience specific hip complications.
- Management strategies often overlap with other neuromuscular conditions.
Conclusions:
- There is a need for specialized guidelines for pediatric SCI hip disorders.
- Further research is warranted to optimize treatment outcomes.
Abstract:
Little has been written regarding the assessment and treatment of hip disorders in children who have underlying paralysis. Each year approximately 2000 people younger than 20 years of age suffer a spinal cord injury (SCI). This compares with a larger number of children who have other forms of neurologic disorders, such as myelodysplasia, which affects approximately 6000 newborns annually in the United States, and for which there is a large body of literature describing the natural history and treatment of hip disorders in children who have myelodysplasia. This article focuses on hip disorders in children who have SCI, although there is clearly commonality in hip disorders that transcends many neurologic disorders.
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