ABSTRACT

Spinal deformity is a common and important consequence of many neuromuscular disorders. Spinal deformity that results from neuromuscular disease can be characterized by shared features including deformity pattern, natural histoy, and principles of patient evaluation and management. The problems among this group are more complex than those among patients with idiopathic scoliosis. The spinal deformities are difficult to control with braces and may progress even after skeletal maturity is achieved. Patients may also have pelvic obliquity, hip dislocation, limited balance and ability to sit, backpain, and, in some instances, a significant decrease in pulmonary function. Treatment thus presents a great challenge to the orthopaedic surgeon. The purpose of this article is to review the causes, evaluation, and treatment of spinal deformities associated with neuromuscular disorder.