Scoliosis Surgery Can Improve Quality of Life in Children with Severe Cerebral Palsy

Children with severe cerebral palsy (CP) often develop progressive scoliosis, or abnormal spinal curvature. Scoliosis causes a variety of health issues, such as problems with balance while sitting, pain, and complications affecting function of the lungs, heart, and gastrointestinal system. Spinal fusion surgery has been considered standard of care for children whose scoliosis cannot be controlled with seating modifications or orthoses, but some have debated whether it is truly worthwhile. Firoz Miyanji and colleagues from British Columbia Children’s Hospital in Vancouver recently published a paper discussing the risks and benefits of scoliosis surgery in children with CP. They included 69 subjects with an average age of 13.4, and GMFCS level IV or V cerebral palsy. Parents/caregivers were asked to complete the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire prior to surgery, as well as in follow-ups at 1, 2, and 5 years…

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