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Bone health in cerebral palsy: who's at risk and what to do about it?

Christine Murray Houlihan1

  • 1Eastern Virginia Medical School, 601 Children's Lane, Norfolk, VA 23507, USA. Tel: +1 757 668 7473; Fax: + 757 668 7474;

Journal of Pediatric Rehabilitation Medicine
|August 7, 2014
PubMed

Insights

Children with cerebral palsy (CP) often have low bone mass, increasing fracture risk. This review covers diagnosis, risk factors, and management strategies for low bone density in pediatric CP patients.

Area of Science:

  • Pediatrics
  • Orthopedics
  • Bone Metabolism

Background:

  • Cerebral palsy (CP) is the most common childhood condition linked to low bone mass.
  • Children with CP experience decreased bone density, leading to fragility fractures that negatively impact function and quality of life.
  • Addressing low bone mass is crucial for preventing lifelong fracture risks.

Purpose of the Study:

  • To review the diagnosis of low bone mass in children with CP.
  • To identify risk factors contributing to low bone density in this population.
  • To explore prevention and treatment strategies for low bone mass in children with CP.

Main Methods:

  • This is a review article.
  • It synthesizes current knowledge on bone health in pediatric CP.
  • The review covers diagnostic approaches, risk factors, and therapeutic interventions.

Main Results:

  • Low bone mass is a significant issue in children with CP, elevating fracture risk.
  • Accurate fracture risk prediction, prevention, and treatment are vital for improving outcomes.
  • Maximizing bone accrual during growth is essential for long-term bone health.

Conclusions:

  • Early diagnosis and intervention for low bone mass are critical in children with CP.
  • Comprehensive management strategies are needed to mitigate fracture risk and improve quality of life.
  • Further research into optimizing bone health in pediatric CP is warranted.

Keywords:
Osteoporosisbone densitybone healthcerebral palsydisabilities

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