Muscle release operation for scoliosis in cerebral palsy.

概要

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Scoliosis in cerebral palsy caused by spasticity and unbalanced muscle tension is frequently seen and the incidence has been reported from 6.5 to 38 per cent, which is higher than in the general population, and to be highest in non-ambulatory patients.This deformity may progress to cause pain, an impairment of cardiopulmonary function, loss of sitting and standing balance, or a combination of these difficulties with subsequent deterioration of functional abilities. For such spinal deformities, spine fusion and instrumentations have been mainly performed. However, these procedures limit rotatory movement of the spine which is necessary for ADL. Therefore, we performed muscle release operation for scoliosis in cerebral palsy on five cases.Although the scoliosis deformity was not satisfactorily corrected by our procedure, there was no progression of scoliosis and clinical symptoms such as stability of sitting and standing balance, and pain relief, have improved.
西日本整形・災害外科学会の論文