Journal article
Management of Spinal Deformity in Adult Patients With Neuromuscular Disease
Journal of the American Academy of Orthopaedic Surgeons, v 24(9), pp 634-644
Sep 2016
PMID: 27471900
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A wide range of neuromuscular diseases, including Parkinson disease, cerebral palsy, multiple sclerosis, and myopathy, are associated with spinal deformities. The most common postural deformities include anterocollis, Pisa syndrome (pleurothotonus), scoliosis, and camptocormia. Nonsurgical management of spinal deformity in patients with neuromuscular disease centers on maximizing the medical management of the underlying neurodegenerative pathology before surgical intervention is contemplated. Surgical management can include decompression alone, or decompression and fusion with short or long fusion constructs. Patients with neuromuscular disease are susceptible to postoperative medical complications, such as delirium, epidural hematomas, pulmonary emboli, and cardiac events. Compared with outcomes in the typical patient with spinal deformity, postoperative outcomes in patients with neuromuscular disease have higher rates of surgical complications, such as instrumentation failure, proximal junctional kyphosis, loss of correction, and the need for revision surgery, regardless of the magnitude of surgical treatment.
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Details
- Title
- Management of Spinal Deformity in Adult Patients With Neuromuscular Disease
- Creators
- Themistocles S Protopsaltis - Drexel UniversityAnthony J BonielloFrank J Schwab
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, v 24(9), pp 634-644
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000382185000007
- Scopus ID
- 2-s2.0-84984621744
- Other Identifier
- 991019330798804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery