Neuromuscular Scoliosis. Anand M. Allam, Aloysia L. Schwabe; PM&R, Volume 5, Issue 11, November 2013, Pages 957-963. http://dx.doi.org/10.1016/j.pmrj.2013.05.015
"Progression increases after ambulation is lost and during the adolescent growth spurt. Unlike idiopathic scoliosis, curve progression continues after puberty. Prevention of secondary complications and utilization of bracing can delay but not eliminate the need for corrective surgery"
"Surgical intervention may be delayed with appropriate nonoperative treatment. However, prolonged delays of surgery in the setting of a progressive neuromuscular disease may increase the risk of complications. Thus, surgical planning should be discussed early in the course of the disease."
Sunday, November 17, 2013
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