The Long-term Outcome of Early Spine Fusion for Scoliosis in Children With Cerebral Palsy

Abstract

In our cohort with early-onset neuromuscular scoliosis, spine fusion was associated with minimal short-term and long-term morbidity, but there was 28% mortality at 10 years of follow-up and 50% predicted mortality at 15 years.

Outcomes after scoliosis surgery for children with cerebral palsy: a systematic review

“…Descriptive information about participants was often missing. Only nine studies used the GMFCS to describe the sample and in these studies over 75% of the sample were classified as GMFCS level IV to V . Twelve studies included posterior approaches to surgery only, 33 studies included posterior approaches or combined/staged anterio‐posterior approaches, while approach was not reported, or was not defined for participants with CP, in six studies.…”

“…Thirty‐two studies measured scoliosis curve correction, with all studies using the Cobb angle . Studies tended to measure whole group curve correction as mean percentage (%) correction or mean change in Cobb angle.…”

“…All studies reported a positive effect. Twenty studies reported shorter‐term (typically 0–3mo) postoperative mean % curve correction . The overall mean shorter‐term postoperative curve correction was found to be 59%, with mean correction ranging from 36% to 77%.…”

“…Twenty‐six studies measured pelvic obliquity correction; however, it was inconsistently defined and measured. Of the 10 studies that defined how pelvic obliquity was measured, six defined it as the angle between the line across the level of the iliac crests and the line perpendicular to the line from the centre of T1 to S1, whereas the other four studies used one of three other definitions. Studies tended to report group mean preoperative and postoperative pelvic obliquity angles or group mean percentage (%) pelvic obliquity correction.…”

“…Complications were reported in 45 studies . Methods of reporting complications varied among studies.…”