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Incidence of scoliosis in cerebral palsy: A population-based study of 962 young individuals
Lund Univ, Dept Clin Sci, Lund, Sweden;Skane Univ Hosp, Dept Orthopaed, Lund, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Lund Univ, Dept Clin Sci, Lund, Sweden.ORCID iD: 0000-0003-1711-8489
Univ Hosp, Natl Competence Ctr Qual Registers, Lund, Sweden.
Lund Univ, Dept Clin Sci, Lund, Sweden;Skane Univ Hosp, Dept Orthopaed, Lund, Sweden.
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2018 (English)In: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 89, no 4, p. 443-447Article in journal (Refereed) Published
Abstract [en]

Background and purpose - Surveillance of scoliosis in individuals with cerebral palsy (CP) is important for ensuring timely diagnosis and identification of curve progression. We analyzed the incidence of scoliosis in relation to age, sex, and gross motor function in a population-based cohort of individuals with CP.

Patients and methods - This was a prospective register study of all 1,025 individuals born 1990-2012 in southern Sweden (1.4 million inhabitants) in the Swedish surveillance program for CP, which included >95% of the total population of people with CP in the area. Annual clinical examinations and radiographic measurement of the Cobb angle of those with a moderate or severe scoliosis were registered. We determined the incidence of scoliosis related to age, sex, and the Gross Motor Function Classification System (GMFCS) level.

Results - The inclusion criteria were fulfilled by 962 individuals. The number of people (140/962) with scoliosis increased up to 20-25 years of age. The incidence of scoliosis was related to age and GMFCS level. In individuals at the lowest level of gross motor function (GMFCS V) scoliosis was seen in 10/131 before 5 years of age and at the age of 20 years 75% of these individuals had a Cobb angle >= 40 degrees. No one in the highest level of motor function (GMFCS I) developed a Cobb angle > 40 degrees

Interpretation - Surveillance programs for scoliosis in CP should be based on age and GMFCS level and should be initiated at a young age and continued into adulthood.

Place, publisher, year, edition, pages
2018. Vol. 89, no 4, p. 443-447
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:uu:diva-386335DOI: 10.1080/17453674.2018.1450091ISI: 000439704100015PubMedID: 29537343OAI: oai:DiVA.org:uu-386335DiVA, id: diva2:1327475
Available from: 2019-06-19 Created: 2019-06-19 Last updated: 2019-06-19Bibliographically approved

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