About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Quality of Cerebral Palsy Children's Life Improves with Scoliosis Surgery

by Preethi Sivaswaamy Mohana on April 6, 2018 at 11:41 AM
Font : A-A+

Quality of Cerebral Palsy Children's Life Improves with Scoliosis Surgery

Surgery for scoliosis (sideways curvature of the spine) in children with cerebral palsy can improve the quality of their life and life of their caregivers, finds a new study. The findings of the study are published in The Journal of Bone & Joint Surgery.

" Scoliosis surgery in patients with CP leads to a significant improvement in health-related QoL, which is maintained five years following surgery," write Firoz Miyanji, MD, of British Columbia Children's Hospital, Vancouver, and colleagues from seven other North American medical centers. Their study provides evidence that surgery for scoliosis improves outcomes important to severely disabled children with CP and their parents/caregivers--outweighing the substantial rate of complications during the first year after surgery.

Advertisement


Scoliosis Surgery Improves Quality of Life for Kids with Severe CP
The study included 69 children with CP who underwent " spinal fusion surgery for scoliosis between 2008 and 2011, identified from an international database. The children all had at least five years' follow-up up data; average age at the time of scoliosis surgery was about 13 years.

All of the children were severely disabled due to CP: most were in level V of the standard five-level Gross Motor Function Classification System. Up to 35 percent of children in levels IV and V will develop progressive scoliosis that cannot be controlled by wearing a brace. The abnormal spinal curvature causes a wide range of problems, including inability to balance in a seated position, pain, and possibly long-term adverse effects on lung, heart, and gastrointestinal function.
Advertisement

Surgery may be performed to stop scoliosis progression. However, the true benefits of surgery in improving QoL are difficult to quantify in these complex cases. Dr. Miyanji and colleagues used a validated questionnaire specifically designed for evaluation of children with severe CP--the Caregiver Priorities and Child Health Index of Life with Disabilities, or "CPCHILD"--to assess the impact of scoliosis surgery at one, two, and five years postoperatively.

Scoliosis surgery significantly reduced the spinal curvature. On a standard x-ray measurement (Cobb angle), the curve was reduced from the severe to the mild-to-moderate range, on average. The improvement remained stable through two and five years after surgery.

Analysis of the CPCHILD scores showed improvements QoL for the patients with CP and their caregivers. In addition to improvement in the total CPCHILD score, there were improvements in the areas of personal care, positioning, and comfort. Overall, 92 percent of caregivers reported that their child's QoL was better one year after scoliosis surgery. Like the x-ray improvements, the gains in QoL persisted throughout follow-up.

As in previous studies of scoliosis surgery in children with CP, complications were common. This was especially so during the first year after surgery, when 46 percent of patients experienced a complication, most commonly pneumonia and surgical site infections. However, the first-year complications had little or no impact on QoL outcomes.

Surgery has been regarded as the standard of care for children with severe CP and scoliosis that cannot be controlled by bracing or seating modifications. However, the true benefits of scoliosis surgery--especially in terms of "patient-centered outcomes" important to the children and their caregivers--have been debated.

Some scientists have questioned the long-term benefits of scoliosis surgery in this group of patients--especially considering the substantial risk of complications. "We are encouraged that the results of this multi-center study will provide patients, caregivers, and treating surgeons some guidance when faced with the decision of moving ahead with surgery," says Dr. Miyanji.

"I am pleased to see that the data could provide useful information which helps patients with CP and their parents make good decisions," comments Dr. Paul Sponseller, a coauthor of the study. "These families place an enormous amount of trust in our recommendations and this helps to give the advice a more solid basis, which they deserve."



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Is COVID-19 Vaccination during Pregnancy Safe?
Sensory Processing Disorder (SPD)
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
LASIK Eye Surgery Hypermobility Syndrome Cerebral Palsy Hamstring Lengthening Surgery Rhizotomy Scoliosis Paralysis Facial Nerve Decompression Monoplegia 

Recommended Reading
Spinal Cord Injury
Spinal cord injury is an injury to the spinal cord that results in temporary or permanent changes .....
Injury to the Spinal Cord may Affect the Heart
Secondary damage to heart due to spinal cord injury may range from mild-severe as only small number ...
Genetically-Modified Nasal Cells can Potentially Treat Spinal Cord Injuries
The nerve cells can be regenerated after a spinal cord injury by transplanting ......
Genes that aid Spinal Cord Repair in Fish also Found in Humans
Genes that aid in the natural repair of injured spinal cord in the lamprey fish also active in the ....
Cerebral Palsy
Cerebral palsy is a non-progressive motor neurological disorder that manifests during the early deve...
Hypermobility Syndrome
Hypermobility Syndrome is a condition in which a person can move his joints far beyond the normal .....
LASIK Eye Surgery
Lasik / Laser eye surgery is a treatment, which improves the vision in patients suffering from eye p...
Monoplegia
Monoplegia is the paralysis of one of the four limbs. It commonly affects the arms. It is mainly cau...
Paralysis
Paralysis is a condition where there is a loss of muscle function as well as sensory loss, which can...
Scoliosis
Scoliosis is a condition characterized by an abnormal curvature of the spine or backbone to the left...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use