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Orthopedic Spine Surgery for Patients with Cerebral Palsy

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Orthopedic Care of Patients with Cerebral Palsy

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Abstract

Spine surgery is a significant event for patients with cerebral palsy (CP). The most common spine surgery performed in patients with CP is spinal fusion for neuromuscular scoliosis. Other surgical conditions in CP include cervical spondylotic myelopathy and, rarely, lumbar spondylolysis. Patients with CP bring unique challenges to the spine surgeon due to often severe deformity as well as poor baseline medical health. Due to these baseline characteristics, patients with CP are at high risk for complications after spine surgery. However, the risk to benefit ratio significantly favors surgery, which improves quality of life for both the patient and the family. Optimization of spine surgery in this patient population continues to evolve and improve outcomes. The focus of this chapter is the surgical management of spinal conditions among patients with CP.

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Authors and Affiliations

  1. Nemours A.I. DuPont Hospital for Children, Wilmington, DE, USA

    Nickolas Nahm

  2. Division of Cerebral Palsy, Department of Orthopedic Surgery, Nemours A.I. DuPont Hospital for Children, Wilmington, DE, USA

    M. Wade Shrader

  3. Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA

    Hiroko Matsumoto

  4. St. Giles Professor of Pediatric Orthopedic Surgery, New York Presbyterian Morgan Stanley Children’s Hospital, New York, NY, USA

    David Roye

  5. Weinberg Family Cerebral Palsy Center, New York, NY, USA

    David Roye

Authors
  1. Nickolas Nahm
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  2. M. Wade Shrader
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  3. Hiroko Matsumoto
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  4. David Roye
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Corresponding author

Correspondence to M. Wade Shrader .

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Editors and Affiliations

  1. Department of Orthopedics, Helen DeVos Children’s Hospital, Grand Rapids, MI, USA

    Philip D. Nowicki

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Nahm, N., Shrader, M.W., Matsumoto, H., Roye, D. (2020). Orthopedic Spine Surgery for Patients with Cerebral Palsy. In: Nowicki, P. (eds) Orthopedic Care of Patients with Cerebral Palsy. Springer, Cham. https://doi.org/10.1007/978-3-030-46574-2_9

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