Kids With Cerebral Palsy May Have Asymmetric Pelvic
THURSDAY, March 10 (HealthDay News) -- Most children with severe
cerebral palsy have asymmetric pelvic bones that surgeons should
adjust for when they perform surgeries of the pelvis, spine and
surrounding structures, say researchers.
Previous studies have found that cerebral palsy patients have
asymmetry above the pelvis and misalignment of the hips, but this
is the first study to find misalignment between the two sides of
the pelvic bone itself, said the team at Johns Hopkins Children's
They conducted 3-D CT scans on 27 children with severe cerebral
palsy and found that all of them had a greater than 10 degree
misalignment of the pelvic bones.
The study appears online March 10 in the
Journal of Pediatric Orthopaedics.
Most children with severe cerebral palsy have significant spinal
curvatures (scoliosis) that require surgery. Since the spine and
pelvis are connected, doctors must take into account the
possibility of a misaligned pelvis when undertaking any surgical
procedures to correct scoliosis, the researchers said.
The degree of pelvic asymmetry should dictate the size, type and
placement of surgical screws and rods used to stabilize the spine
"Surgeons preparing to operate on children with cerebral palsy should look out for pelvic asymmetry and tweak their surgical technique accordingly to achieve better outcomes and more lasting benefits," study senior investigator Dr. Paul Sponseller, chief of pediatric orthopedics, said in a Hopkins news release.
The March of Dimes has more about
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