The Journal of Bone and Joint Surgery (American). 2007;89:143-147.
doi:10.2106/JBJS.F.00286
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Spinal Deformity Secondary to Impaired Neurologic Control

Freeman Miller, MD

Corresponding author:
Freeman Miller, MD
Alfred I. duPont Hospital for Children, 1600 Rockland Road, P.O. Box 269, Wilmington, DE 19899.
E-mail address: fmiller@nemours.org

The first 150 words of the full text of this article appear below.


    Introduction
 
Spinal deformity occurs in children who have problems with motor control involving the trunk muscles. This lack of control allows the growing spine to collapse. Most commonly, this collapse is due to spasticity in children with the quadriplegic pattern of cerebral palsy. The most typical collapse pattern is scoliosis, although kyphosis or lordosis may also develop. Children who have severe hypotonia may also have development of spinal deformities, often with substantial kyphosis. Individuals with severe extensor posturing may have development of total spinal lordosis. A severe lack of motor control, expressed as a movement disorder such as athetosis or dystonia, is associated with a lower incidence of scoliosis than spasticity is. The incidence of scoliosis in institutionalized individuals, most of whom have a spastic quadriplegic pattern, has been reported to be 64%, with a strong inverse relationship to ambulatory ability1. This means that individuals who are dependent sitters with . . . [Full Text of this Article]


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