Neuromuscular scoliosis.

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Abstract

[Indexed for MEDLINE] 15. Phys Med Rehabil Clin N Am. 2021 Aug;32(3):547-556. doi: 10.1016/j.pmr.2021.02.007. Epub 2021 May 12. Neuromuscular Scoliosis: When, Who, Why and Outcomes. Wishart BD(1), Kivlehan E(2). Author information: (1)Pediatric Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Mass General Hospital for Children, 2nd Floor, 300 1st Avenue, Boston, MA 02129, USA. (2)Pediatric Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Mass General Brigham, 2nd Floor, 300 1st Avenue, Boston, MA 02129, USA. Electronic address: EJKivlehan@partners.org. Scoliosis has a very high prevalence among patients with neuromuscular disease involving the thoracic spine and truncal muscles. Physical examination and radiographs are used to screen for presence of scoliosis and monitor progression. Management includes therapy participation, optimizing equipment and orthotic use, and possible surgical intervention. Unlike idiopathic adolescent scoliosis, curves tend to progress despite orthotic use compliance. Associated pelvic obliquity creates risk for pressure sores and pain. As such, education of caregivers is a key point of optimizing management. Copyright © 2021 Elsevier Inc. All rights reserved. DOI: 10.1016/j.pmr.2021.02.007