Some kinds of scoliosis have clear causes. The most common symptom of neuromuscular diseases is therefore muscle weakness. Other types of scoliosis could be caused by the following: Neuromuscular conditions such as cerebral palsy or muscular dystrophy Spine. Wound infections after surgery for neuromuscular scoliosis: risk factors and treatment outcomes. There are a few different risk factors for developing scoliosis including: Age:Usually, signs and symptoms of scoliosis occur when your child is growing or during a growth spurt. Preoperative clinical picture of a young male with severe scoliosis secondary to quadriplegic cerebral palsy. 1999; 12(3): 197-205. Sex: As mentioned previously, although boys and girls can develop scoliosis, girls have a higher risk … Sponseller, Paul D., MD; LaPorte, ... Of the 10 risk factors tested, 2 were found to be significant: degree of cognitive impairment and use of allograft. Master DL, Son-Hing JP, Poe-Kochert C, et al. They analyzed demographic, clinical, and radiographic variables to elucidate risk factors for progressive neuromuscular scoliosis. While it is difficult for doctors to pinpoint the exact causes, it is believed that it could have hereditary factors, since the disorder runs in families. Spine. This review identified a few risk factors similar to our systematic review: inappropriate antibiotics administration, neuromuscular scoliosis, instrumentation, and levels . In comparison, neuromuscular scoliosis often causes a more-severe spinal deformity, has a more progressive course, and is more disabling due to the deformity combined with the effects of the underlying disease. Neuromuscular scoliosis is the second most common form of the condition. Other than an underlying condition that predisposes the sufferer to developing scoliosis, including cerebral palsy, osteogenesis imperfecta and muscular dystrophy among others, there are three main risk factors: ... Armstrong DG, Thompson GH. Master DL, Poe-Kochert C, Son-Hing J, Armstrong DG, Thompson GH. Journal of spinal disorders. Study Design. SUMMARY OF BACKGROUND DATA:PJK is a common cause of reoperation in adult deformity but has been less well reported in pediatric neuromuscular scoliosis. Scoliosis risk factors include age (9- to 15-year-olds), female sex, and family history. Scoliosis risk factors. Scoliotic conditions with known causes have better chances of recovery. However, the associated risk factors have not been statistically significant. Adolescent idiopathic scoliosis is the most common form of scoliosis, affecting approximately 2% to 4% of adolescents. ... Risk factors of scoliosis. Scoliosis Medicine & Life Sciences Scoliosis cause and risk factors is an important topic of discussion for pateints and families alike. Risk factors for major complications after surgery for neuromuscular scoliosis. Risk factors for major complications after surgery for neuromuscular scoliosis. OBJECTIVE High rates of perioperative complications are associated with deformity correction in neuromuscular scoliosis. Master DL , Connie PK, Jochen SH, et al. ... Risk factors for idiopathic scoliosis and its progression (worsening of the curvature) include the following: Female gender; Family history of scoliosis; 2011;36(7):564-571. Common neuromuscular conditions that can lead to scoliosis include cerebral palsy, muscular dystrophy, and spinal cord injury. The curves caused by neuromuscular scoliosis are usually severe, and affect the entire length of the spine. Neuromuscular scoliosis is caused by a problem with the nerves and muscles of the body. The risk factors that increase the chances of Scoliosis can be categorized as follows: The aim of the study was to determine the incidence, course, and risk factors of gastrointestinal complications after neuromuscular scoliosis correction. This study reports the experiences of a single institution and evaluates whether preoperative pulmonary function tests (PFT) can predict the development of postoperative pulmonary complications. But, other instances can also lead to scoliosis. Patients with cerebral palsy or myelomeningocele who have severe cognitive impairment, and those who received allograft may be at increased risk for infection. Infections are more often polymicrobial and caused by gram-negative organisms than is typical for elective orthopedic procedures. Diagnosis is done by the physical exam and by imaging techniques such as X-rays, CT scans, or MRI. To evaluate risk factors associated with the development of proximal junctional kyphosis (PJK) in pediatric neuromuscular scoliosis. The authors also identified other factors that our pooled analysis failed to prove significant, such as obesity, blood loss or transfusion, and insertion of a drain  . People with neuromuscular scoliosis are at risk for significant complications, including lung and heart problems. Scoliosis Causes and Risk Factors. There are a few risk factors for scoliosis which increase the chances of developing the condition. Table 4 Lifetime risk factors for pneumonia in children with neuromuscular scoliosis at a mean age of 21 years Full size table To further evaluate the effect of spinal deformity surgery, the risk factors for pneumonia during the 3-year periods before and after surgery were examined. Media Gallery Neuromuscular scoliosis. Causes And Risk Factors Of Scoliosis.  Spinal Muscular Atrophy – It is a neuromuscular disease which results in weakness of the muscles. In this type of scoliosis, the curving of the spine is likely to continue and progress into adulthood. Neuromuscular scoliosis. Scoliosis Cause and Etiology by Our Experts. Perioperative complications and risk factors in neuromuscular scoliosis surgery. 2018 Aug. 22 (2):207-213. . Neuromuscular scoliosis: The spine may also curve due to specific abnormalities of the nervous or musculoskeletal system, such as cerebral palsy, Marfan syndrome, or neurofibromatosis. This is most commonly due to muscle imbalance and/or weakness. Objectives. The current study aimed to evaluate complications associated with surgical correction of neuromuscular scoliosis and to characterize potential risk factors. Any medical condition that affects the nerves and muscles can lead to scoliosis. Neuromuscular Scoliosis. This is in comparison to idiopathic scoliosis that occurs in 2-4% of the general population. Wound infections after surgery for neuromuscular scoliosis: risk factors and treatment outcomes. J Neurosurg Pediatr. The incidence of NS among disorders that affect the central or peripheral motor nerves, neuromuscular junction, or muscles, is between 25-100%, depending on the exact etiology. Spine. These disorders commonly affect the spinal cord, brain, and muscular system. A retrospective case–control study evaluating risk factors for infection, causative organisms, and results of treatment in patients with cerebral palsy or myelomeningocele who underwent fusion for scoliosis was performed. Doctors divide those curves into two categories -- structural and nonstructural. It develops because there is another disorder affecting the body, such as cerebral palsy, muscular dystrophy, or spina bifida. The primary outcome was need for PSF. These are well-known risk factors for progressive deformity in children with spasticity in general. types of scoliosis, neuromuscular scoliosis (NMS) pos- ... significant risk factors for the development of a major complication.1,3,4,10–13,16 As such, the objective of this study Risk Factors for Scoliosis.  Lipton GE, , Miller F, , Dabney KW, , Altiok H, , Bachrach SJ. This type of scoliosis is often accompanied by a condition called pelvic obliquity in which the pelvis is tilted to one side. Tumor – It is the abnormal growth of body tissue. Neuromuscular scoliosis can also develop in individuals due to birth defects or conditions such as: muscular dystrophy, cerebral palsy, or spina bifida. Spine (Phila Pa 1976), 36(3):E179-85, 01 Feb 2011 Cited by: 26 articles | PMID: 21248588 Epidemiology including risk factors and primary prevention. Together they form a unique fingerprint. To identify risk factors for infection, and to characterize the infections in terms of infecting organisms and response to treatment. 3. Factors predicting postoperative complications following spinal fusions in children with cerebral palsy. Deep Wound Infections After Neuromuscular Scoliosis Surgery: A Multicenter Study of Risk Factors and Treatment Outcomes. Although our analysis suggests SDR via limited laminectomy may not significantly accelerate the development of neuromuscular scoliosis, further case-control studies are critical to elucidate the impact of SDR on spi-nal deformity. Adolescent idiopathic scoliosis is the most common form of scoliosis. 2011;36(3):E179-185. This sugge … Neuromuscular Scoliosis. Neuromuscular scoliosis (NMS) is associated with progressive restrictive lung disease and an increased risk of prolonged ventilation following surgery. Neuromuscular scoliosis is caused by any of a number of associated disease processes that affect the neurologic or muscular systems. 2011; 36(7): 564-71. The purpose of this study was to determine the prevalence of major complications and to identify reliable factors associated with an increased risk for these complications. With the exception of a few types of the condition with known causes such as congenital, neuromuscular, traumatic or degenerative, 80 percent of known diagnosed scoliosis cases have no known cause. Surgical correction of neuromuscular scoliosis can be complicated by early gastrointestinal complications, but data on the extent and severity of them is scarce. The most common cause is hereditary. Findings showed that 52% of the infections were polymicrobial. When someone is diagnosed with scoliosis, this means they have an abnormal curvature to their spine. METHODS: Our computerized Pediatric Orthopedic Spine Database identified 131 consecutive patients with neuromuscular scoliosis, excluding those with myelodysplasia, who underwent surgery and had a minimum of 2 years of follow-up. Methods: A computerized database identified a cohort of 151 patients with neuromuscular scoliosis who underwent corrective surgery and had a minimum of two years follow-up. Table 4 Lifetime risk factors for pneumonia in children with neuromuscular scoliosis at a mean age of 21 years To further evaluate the effect of spinal deformity surgery, the risk factors for pneumonia during the 3-year periods before and after surgery were examined. Fingerprint Dive into the research topics of 'Deep wound infections after neuromuscular scoliosis surgery: A multicenter study of risk factors and treatment outcomes'. The current study aimed to evaluate complications associated with surgical correction of neuromuscular scoliosis and to characterize potential risk factors. Neuromuscular scoliosis classically involves the entire thoracolumbar spine, often extending to the pelvis and causing pelvic obliquity. Depending on the severity of the curve and the risk for it getting worse, scoliosis can be treated with observation, bracing, or … Why so Many People Opt for Scoliosis Surgery.
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