The Associated Effects of Untreated Unilateral Hip Dislocation in Cerebral Palsy Scoliosis

Abstract

Unilateral hip dislocation causes a significant increase of PO but does not affect the rate of scoliosis curve progression.

Risk factors for emergence and progression of scoliosis in children with severe cerebral palsy: a systematic review

“…The prospective and relatively high‐quality (TMQS 17) study by Senaran et al 17 . on relationships between pelvic obliquity and hip dislocation and the emergence and progression of scoliosis did not find evidence for the existence of any significant relationships.…”

“…The prospective and relatively high-quality (TMQS 17) study by Senaran et al 17 on relationships between pelvic obliquity and hip dislocation and the emergence and progres- 2a Participant's representative 0=no data on selection provided 1=information provided that sample is a selection of original population; no information on selection bias 2=information provided on selection and selection bias 2b Inclusion ⁄ exclusion criteria 0=no description of inclusion and ⁄ or exclusion criteria 1=adequate description of inclusion and exclusion criteria 2c Relevant participants' characteristics described in standardized and well-defined way 2c -1 Age of participants 0=no information provided 1=information restricted to age range of group studied 2=detailed information of age of participants provided 2c -2 Diagnosis of CP 0=no information on criteria for diagnosis of CP provided 1=criteria for diagnosis of CP provided (e.g. according to Hagberg, SCPE) 2c -3 Type of CP 0=no information on type of CP provided 1=information restricted to general description of population (e.g.…”

Hip surveillance in Tasmanian children with cerebral palsy

“…A dislocated hip (MP > 90%) significantly impacts on a child's ease of sitting and positioning, and reduces mobility 3 . Scoliosis becomes worse in the setting of a unilateral dislocated hip 4 . Perineal hygiene becomes difficult.…”

“…3 Scoliosis becomes worse in the setting of a unilateral dislocated hip. 4 Perineal hygiene becomes difficult. Some studies have noted improved change in behaviour of children after reconstructive surgery, suggesting they have been suffering pain in the hip for years, undetected by parents and caregivers because of communication difficulties.…”

Bilateral hip reconstruction improve hip stability, pelvic balance and mobility function in children with cerebral palsy

“…Progression of hip displacement in-creased markedly with decreasing functional level and increasing initial hip displacement [2,3]. Severe hip displace-ment can cause pain, difficulty to ambulate, pelvic obliquity, loss of sitting balance and scoliosis, especially in asymmetrical hip displacement [4,5].…”