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Factors Influencing the Progression and Direction of Scoliosis in Children with Neurological Disorders

Bibliographic Data

ID15717981
AuthorsYeun Jie Yoo (0000-0003-1323-4503, St. Vincent's Hospital), Jung Geun Park (0000-0002-9298-9850, St. Vincent's Hospital), Leechan Jo (0000-0001-7375-3626, St. Vincent's Hospital), Youngdeok Hwang (0000-0001-7563-5156, Baruch College), Mi–Jeong Yoon (0000-0003-0526-6708, St. Vincent's Hospital), Joon‐Sung Kim (St. Vincent's Hospital), Seong Hoon Lim (0000-0002-5475-4153, St. Vincent's Hospital), Bo Young Hong (0000-0001-9290-6173, St. Vincent's Hospital, corresponding author)
Year2022
Volume9
Issue1
Pages81-81
Publication date2022-01-06
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9010081
PMID35053706
OpenAlexW4205727858
LanguageEN
References cited1

(1) Background: scoliosis is highly prevalent in children with neurological disorders, however, studies predicting the progression and affecting the direction of scoliosis have been insufficient. We investigated the factors associated with the progression and direction of scoliosis in children with neurological disorders. (2) Method: retrospectively, 518 whole spine radiographs from 116 patients were used for analysis. Factors affecting the progression of scoliosis over time were analyzed using linear mixed-effects model. Factors associated with the apex direction of the scoliosis were analyzed. (3) Results: pelvic obliquity (PO) ≥ 2.5°, gross motor function classification system level V, vertebral rotation, and female sex significantly affect the progression of scoliosis ( p = 0.04, p < 0.001), but the asymmetrical neurological upper extremity involvement was not. (4) Conclusions: severely impaired gross motor function, PO, vertebral rotation, and female sex were significantly related to the progression of scoliosis. The higher side of PO was opposite to the apex side of scoliosis. By identifying the factors that influence the progression of scoliosis, patients at high risk could be more actively intervened to minimize the severe complications

Apex (geometry · Idiopathic scoliosis · Rachis · Radiography · Scoliosis · Cerebral Palsy and Movement Disorders · Hip disorders and treatments · Medicine · Scoliosis diagnosis and treatment · Anatomy · Surgery

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