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The management of scoliosis is complex and is determined primarily by the type of scoliosis encountered: syndromic, congenital, neuromuscular, or idiopathic. [1] Treatment options for idiopathic scoliosis are determined in part by the severity of the curvature and skeletal maturity, which together help predict the likelihood of progression.
It is a non-invasive scoliosis treatment that utilizes electrical muscle stimulation, which is also known as neurostimulation or neuromuscular stimulation. The LESS treatment is used to treat individuals with mild to moderate degrees of scoliosis, and is often used either as a replacement to or as a complement to traditional scoliosis bracing.
Scoliosis most often occurs during growth spurts right before puberty. [11] Risk factors include other affected family members. [2] It can also occur due to another condition such as muscle spasms, cerebral palsy, Marfan syndrome, and tumors such as neurofibromatosis. [2] Diagnosis is confirmed with X-rays. [2]
Furthermore, deformities in cerebral palsy children are characteristically multilevel i.e. occurring at simultaneously at more than one joint. This adds to the complexity of orthopedic management of cerebral palsy children. Thus, multilevel orthopedic surgery is the mainstay of orthopedic management.
AIS is the most common form of idiopathic scoliosis, accounting for around 90% of all cases. [51] [44] Adolescent Idiopathic Scoliosis affects between 1-4% of teenagers, [52] [53] with treatment being required for only 0.25% of teenagers with the condition.
Dyskinetic cerebral palsy is a non-progressive, non-reversible disease. The current management is symptomatic, since there is no cure. The main goal is to improve daily activity, quality of life and autonomy of the children by creating a timed and targeted management.
The incidence of cerebral palsy has increased in the past 40 years. It has been estimated that, in the United States, cerebral palsy occurs in four out of every 1000 births. [11] Of those births, about 20–30% have spastic hemiplegia. Overall, spasticity is the more common type of cerebral palsy and non-spastic cerebral palsy is less common.
It is distinguishable from other forms of cerebral palsy in that those afflicted with the condition display stiff, jerky movements stemming from hypertonia of the muscles. [ 1 ] Spastic quadriplegia, while affecting all four limbs more or less equally, can still present parts of the body as stiffer than others, such as one arm being tighter ...