Cerebral Palsy, Scoliosis
Conditions
Keywords
cerebral palsy, scoliosis, children
Brief summary
This is a prospective, multi-centre study that will be looking at two groups of males and females over the course of their operative treatment for cerebral palsy (CP) scoliosis and the years following that treatment. The first group the study will be looking at is those individuals who undergo surgery for CP Scoliosis. The second group will be those individuals who do not undergo surgical treatment for CP Scoliosis, either because the family declines surgery or surgery is not recommended during the course of study participation.
Interventions
Surgical intervention for correction of scoliotic or kyphotic curvatures of the spine will include either the posterior approach or the anterior + posterior approach, with either the unit or custom rod, depending on the choice of the surgeon.
Sponsors
Study design
Eligibility
Inclusion criteria
* Between the ages of 8 and 18 years * Diagnosis of Cerebral Palsy with total body involvement * Coronal curve greater than 40 degrees OR a kyphotic curve greater than 50 degrees on sitting film will be included * Growing rod treatment will also be included
Exclusion criteria
* Previous operated scoliotic spine deformity * Diagnosis of Rett's Syndrome * Concomitant lower extremity surgery (within 3 months of spinal fusion) * Cornelia de Lange Syndrome or any pervasive genetic disorder whose effects are due to much more than the static cortical injury * Ambulatory spastic diplegic without upper extremity impairment or speech, swallowing or other involvement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of pre- and post- operative x-rays | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Gross motor function, physical data, past medical history, seizure status, pain and medications, sitting ability, activity level, clinical photos, quality of life questionnaires, data regarding surgery and hospital stay | 1 year |
Countries
Canada