Scoliosis in children with severe cerebral palsy: a population-based study of 206 children at GMFCS levels III–V

• DOI: 10.1007/s00586-023-07868-1
• Publication Date: 2023-08-02T16:02:03Z
• Authors: Svend Vinje; Terje Terjesen; Thomas Kibsgård
• Keywords: Cobb angle; CobB

Abstract Purpose To evaluate the prevalence of scoliosis and rate progression in children with severe cerebral palsy (CP) at GMFCS levels III–V. Methods Two hundred six (86 girls, 120 boys), born 2002–2008, were recruited from The Norwegian Quality Surveillance Registry for Cerebral Palsy (NorCP). Inclusion criteria bilateral CP Scoliosis was evaluated annually by examination spine a physiotherapist. Radiographic performed moderate or clinical evaluation. Cobb angle used as measure curve magnitude. Results Scoliosis, defined ≥ 10°, occurred 121 (59%). Severe (Cobb 40°) developed 80 206 patients (39%) mean age 10.9 years (range 5–16) more prevalent level V (62%) than IV (19%) III (6%). Initial angle, 30° 10 years, independent risk factors scoliosis. In V, decreased 9.7° per year 3–5 to 2–3° 11 years. Conclusions among increased decreasing motor functional level. most important high initial V.