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Incidence of scoliosis in cerebral palsy : A population-based study of 962 young individuals

Hägglund, Gunnar LU ; Pettersson, Katina LU ; Czuba, Tomasz ; Persson-Bunke, Måns LU and Rodby-Bousquet, Elisabet LU (2018) In Acta Orthopaedica 89(4). p.443-447
Abstract

Background and purpose — Surveillance of scoliosis in individuals with cerebral palsy (CP) is important for ensuring timely diagnosis and identification of curve progression. We analyzed the incidence of scoliosis in relation to age, sex, and gross motor function in a population-based cohort of individuals with CP. Patients and methods — This was a prospective register study of all 1,025 individuals born 1990–2012 in southern Sweden (1.4 million inhabitants) in the Swedish surveillance program for CP, which included >95% of the total population of people with CP in the area. Annual clinical examinations and radiographic measurement of the Cobb angle of those with a moderate or severe scoliosis were registered. We determined the... (More)

Background and purpose — Surveillance of scoliosis in individuals with cerebral palsy (CP) is important for ensuring timely diagnosis and identification of curve progression. We analyzed the incidence of scoliosis in relation to age, sex, and gross motor function in a population-based cohort of individuals with CP. Patients and methods — This was a prospective register study of all 1,025 individuals born 1990–2012 in southern Sweden (1.4 million inhabitants) in the Swedish surveillance program for CP, which included >95% of the total population of people with CP in the area. Annual clinical examinations and radiographic measurement of the Cobb angle of those with a moderate or severe scoliosis were registered. We determined the incidence of scoliosis related to age, sex, and the Gross Motor Function Classification System (GMFCS) level. Results — The inclusion criteria were fulfilled by 962 individuals. The number of people (140/962) with scoliosis increased up to 20–25 years of age. The incidence of scoliosis was related to age and GMFCS level. In individuals at the lowest level of gross motor function (GMFCS V) scoliosis was seen in 10/131 before 5 years of age and at the age of 20 years 75% of these individuals had a Cobb angle ≥40°. No one in the highest level of motor function (GMFCS I) developed a Cobb angle ≥40° Interpretation — Surveillance programs for scoliosis in CP should be based on age and GMFCS level and should be initiated at a young age and continued into adulthood.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
89
issue
4
pages
443 - 447
publisher
Taylor & Francis
external identifiers
  • pmid:29537343
  • scopus:85044065857
ISSN
1745-3674
DOI
10.1080/17453674.2018.1450091
language
English
LU publication?
yes
id
867f484b-9df7-4ce7-8c22-da097bdcf231
date added to LUP
2018-04-06 07:41:17
date last changed
2024-10-30 01:16:20
@article{867f484b-9df7-4ce7-8c22-da097bdcf231,
  abstract     = {{<p>Background and purpose — Surveillance of scoliosis in individuals with cerebral palsy (CP) is important for ensuring timely diagnosis and identification of curve progression. We analyzed the incidence of scoliosis in relation to age, sex, and gross motor function in a population-based cohort of individuals with CP. Patients and methods — This was a prospective register study of all 1,025 individuals born 1990–2012 in southern Sweden (1.4 million inhabitants) in the Swedish surveillance program for CP, which included &gt;95% of the total population of people with CP in the area. Annual clinical examinations and radiographic measurement of the Cobb angle of those with a moderate or severe scoliosis were registered. We determined the incidence of scoliosis related to age, sex, and the Gross Motor Function Classification System (GMFCS) level. Results — The inclusion criteria were fulfilled by 962 individuals. The number of people (140/962) with scoliosis increased up to 20–25 years of age. The incidence of scoliosis was related to age and GMFCS level. In individuals at the lowest level of gross motor function (GMFCS V) scoliosis was seen in 10/131 before 5 years of age and at the age of 20 years 75% of these individuals had a Cobb angle ≥40°. No one in the highest level of motor function (GMFCS I) developed a Cobb angle ≥40° Interpretation — Surveillance programs for scoliosis in CP should be based on age and GMFCS level and should be initiated at a young age and continued into adulthood.</p>}},
  author       = {{Hägglund, Gunnar and Pettersson, Katina and Czuba, Tomasz and Persson-Bunke, Måns and Rodby-Bousquet, Elisabet}},
  issn         = {{1745-3674}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{4}},
  pages        = {{443--447}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica}},
  title        = {{Incidence of scoliosis in cerebral palsy : A population-based study of 962 young individuals}},
  url          = {{http://dx.doi.org/10.1080/17453674.2018.1450091}},
  doi          = {{10.1080/17453674.2018.1450091}},
  volume       = {{89}},
  year         = {{2018}},
}