Spinal Deformity in Progressive Neuromuscular Disease: Natural History and Management - 06/07/18
Doi : 10.1016/S1047-9651(18)30287-0
Dennis A. Hart, MD a, ⁎, Craig M. McDonald, MD a, b
a The Department of Physical Medicine and Rehabilitation, Sacramento, California
b The Department of Pediatrics, and MDA Adult and Child Neuromuscular Disease Clinics, University of California, Davis Medical Center, Sacramento, California
*Address reprint requests to: Dennis A. Hart, MD University of California Davis Medical Center 4301 X Street, Rm 2030 Sacramento, CA 95817University of California Davis Medical Center4301 X Street, Rm 2030SacramentoCA95817
Résumé |
Severe spinal deformity in progressive neuromuscular disease (NMD) leads to multiple problems, including poor sitting balance, difficulty with upright seating and positioning, pain, difficulty in attendant care, and potential exacerbation of underlying restrictive respiratory compromise. Severe scoliosis and pelvic obliquity can in some instances completely preclude upright sitting in a wheelchair. This article reviews the prevalence, natural history, and management of scoliosis in neuromuscular diseases at greatest risk for progressive spinal deformity.
Le texte complet de cet article est disponible en PDF.© 1998
Elsevier Inc. Tous droits réservés.
Vol 9 - N° 1
P. 213-232 - février 1998 Retour au numéro
Article précédent
- Limb Contractures in Progressive Neuromuscular Disease and the Role of Stretching, Orthotics, and Surgery
- Craig M. McDonald
- Quality of Life: Issues for Persons with Neuromuscular Diseases
- R. Ted Abresch, Nancy K. Seyden, Mark A. Wineinger
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