Affiliations: Children's Hospital Colorado, 13123 E 16th Ave, B060, Aurora, CO 80045, USA. Tel.: +1 720 777 3253; Fax: +1 720 777 7268; E-mail: [email protected]
Abstract: Scoliosis occurs in nearly all non-ambulatory children with spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD). Non-operative treatments have not been shown to be effective at preventing progression of scoliosis. Progressive scoliosis can impact the ability of patients to sit comfortably, be cosmetically unappealing, and in severe cases exacerbate pulmonary disease. The main goal of operative treatment is to improve sitting balance and prevent progression of scoliosis. Complication rates are high and there is little data on effect of operative treatment on quality of life in children with SMA and DMD. Comprehensive multi-disciplinary pre-operative evaluations are vital to reduce the risks of operative treatment.
Keywords: Muscular dystrophy, spinal muscular atrophy, scoliosis, surgery