Thomson J D, Banta J V
Newington Department of Orthopaedic Surgery, Connecticut Children's Medical Center (CCMC), Hartford, CT 06106, USA.
J Pediatr Orthop B. 2001 Jan;10(1):6-9.
The natural history of scoliosis in cerebral palsy as well as the treatments that include observation, bracing, and surgery are reviewed. If surgery is indicated, a careful preoperative evaluation is essential, focusing especially on the patient's nutritional, gastrointestinal, neurologic, and orthopedic systems. Intraoperative and perioperative issues such as blood loss control are reviewed. The Luque-Galveston method of instrumentation for scoliosis secondary to cerebral palsy is our preferred method of treatment. Our recent results compare favorably with the literature with fewer complications.
