Neuromuscular Scoliosis: A Neurological Point of View

Abstract

Objective: make a review of the main neurological diseases associated with neuromuscular scoliosis and perioperative care during scoliosis correction surgeries. Method: Non-systematic review using a Google Scholar platform for articles with the descriptor "neuromuscular scoliosis" in the journal title. Results and Discussion: 46 articles in English and 3 articles in Portuguese were used for this review. Conclusion: Neuromuscular scoliosis has the fastest course of evolution, higher rates of disability and higher rates of complications in corrective surgery when compared to idiopathic scoliosis. The knowledge of neurological diseases more associated with neuromuscular scoliosis helps in its early detection and its long-term monitoring.I.

Profile of neurological disorders in a tertiary center of education in orthopedics

“…An unfavorable outcome of NMS from primary etiologies such as Duchenne dystrophy, spinal muscular atrophy, or cerebral palsy can explain these results. 27 Possibly for the same reason, we found no cases of intellectual disability in the elderly. However, the causes of intellectual disability are more extensive, with most cases being idiopathic.…”

“…Neuromuscular scoliosis also involves higher bleeding rates and risk of infectious complications than idiopathic scoliosis surgery. 27 We found 10 HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP) cases in the neuromuscular diseases group not demonstrated in the results. HTLVassociated myelopathy/tropical spastic paraparesis is one of the leading causes of myelopathy in developing countries as it is misdiagnosed as spinal cord compression by structural disease of the spine, thus causing unnecessary orthopedic surgeries.…”

“…With the national incidence estimated at 7 per 1,000 live births in Brazil, CP often generates secondary orthopedic conditions, such as neuromuscular scoliosis, hip dislocation, or equinus foot. 26,27 Our results demonstrate a high frequency of cervical spondylotic myelopathy (CSM) among neuromuscular diseases. Cervical spondylotic myelopathy corresponds to the main cause of myelopathy in the general population, usually in individuals over 50 years of age.…”

“…With the national incidence estimated at 7 per 1,000 live births in Brazil, CP often generates secondary orthopedic conditions, such as neuromuscular scoliosis, hip dislocation, or equinus foot. 26 27…”

“…Neuromuscular scoliosis also involves higher bleeding rates and risk of infectious complications than idiopathic scoliosis surgery. 27…”