Management of pediatric neuromuscular scoliosis

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There are two varieties of neuromuscular scoliosis one spastic the other flaccid.prior to surgical management, conservative management is proposed for patients with neuromuscular scoliosis in many clinical situations. Functional benefits of conservative management of neuromuscular scoliosis comprise stable sitting, easier use of upper limbs, discharge of the abdomen from the collapsing trunk, increased diaphragm excursion, and, not always, prevention of curve progression.
The main aim of in spastic disorders is to maintain the symmetry around the hip joints. Bracing is technically difficult and often is not tolerated well by cerebral palsy children. In patients with flaccid paresis, the fitting and the use of brace is easier than in spastic patients. The flexibility of the spinal curvature is more important.
Continuously improving techniques of conservative management, comprising bracing and physiotherapy, together with correctly timed surgery incorporated in the process of rehabilitation, provide the optimal care for patients.

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