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Kids With Cerebral Palsy May Have Asymmetric Pelvic Bones

Kids With Cerebral Palsy May Have Asymmetric Pelvic Bones

03/10/11

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 Center.

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 and pelvis.

"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.

More information

The March of Dimes has more about cerebral palsy.

Copyright © 2011 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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