Neuromuscular Scoliosis

Spinal Stabilization

Surgical treatment is often beneficial to:

Prevent curve progression
Improve sitting balance and tolerance (in non-ambulators)
Reduce repositioning
Reduce pain

The type of spinal stabilization depends on the age of the patient, ambulatory status, and underlying condition. Temporary stabilization may be necessary in young children to allow their lungs to grow maximally. Final instrumentation may require spinal fusion of the front and back of the spine (especially in younger patients to avoid “crankshaft syndrome”). Fusion from the upper thoracic spine to the sacrum and pelvis is common in nonambulators.

Arnold-Chiari Malformation/Syrinx causing Scoliosis

Myelodysplasia Scoliosis
A) An xray demonstrating the radiographic findings of myelomeningocele scoliosis. Close inspection of the spinal lamina show their failure to close properly during development (spina bifida).
B) An xray after surgery. Multi-level pedicle screws were used to minimize the risk of “crankshaft” (growth of the front of the spine despite posterior instrumentation).
C) A clinical picture showing the skin changes associated with myelomeningocele and its closure soon after birth.

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