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JRPMS Vol 7, No 2, June 2023, p.38-43

doi: 10.22540/JRPMS-07-038

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Review Article

Neuromuscular Scoliosis: A Narrative Review

Nikolaos Dimitrakis1,2, Christos P. Zafeiris2,3

  1. Department of Orthopaedic Surgery, Asklepieio Voulas, Athens, Greece
  2. Postgraduate Program “Metabolic Bone Diseases”, National and Kapodistrian University of Athens, Medical School, Athens, Greece
  3. Laboratory for the Research of the Musculoskeletal System “Th. Garofalidis”, National and Kapodistrian University of Athens, Medical School, Athens, Greece

Keywords: Cerebral palsy, Duchenne muscular dystrophy, Neuromuscular scoliosis, Spinal deformity, Spinal muscular atrophy


Abstract

Spinal deformity is a common finding in patients with an underlying neurological disorder. The clinical course of patients with neuromuscular scoliosis depends on the nature, severity, and the overall impact of their neuromuscular disease. Progressive spinal deformity causes difficulty in mobility and seating status, and may be associated with cardiac and pulmonary complications. Management of neuromuscular scoliosis requires a multidisciplinary approach to obtain the best possible outcome. It is essential for patients to understand the nature of neuromuscular scoliosis, the potential risks and benefits of operative and nonoperative interventions. In this review, we discuss the causes, evaluation and management -both operative and nonoperative- of neuromuscular scoliosis.