ArticleDevelopmental medicine and child neurology2026
Surgical and health outcomes of non-ambulatory children with cerebral palsy and severe scoliosis: A population-based, longitudinal study.
Article in Developmental medicine and child neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Surgical and health outcomes of non-ambulatory children with cerebral palsy and severe scoliosis: A population-based, longitudinal study.Developmental medicine and child neurology · 2026Article
- Perioperative immune trajectories in severe scoliosis surgery: a retrospective study of 2,736 patients undergoing corrective surgery for severe scoliosis.Frontiers in immunology · 2026Article
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5 authors.
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Abstract
aimTo evaluate medium-term surgical outcomes, complications, mortality, and health-related quality of life (HRQoL) in non-ambulatory children with cerebral palsy (CP) and severe scoliosis, and to analyse outcomes and mortality rates in children who had not undergone surgery.
methodData on non-ambulatory children with CP and severe scoliosis born from 2002 to 2008 were extracted from the Norwegian Quality and Surveillance Registry for Cerebral Palsy. Seventy-five children (44 males, 31 females) were included. Thirty-eight (51%; mean age at surgery 14 years 4 months; SD = 2 years 4 months; range = 8-18 years) underwent surgical correction and posterior spinal fusion, with a mean preoperative Cobb angle of 90° (range = 49°-140°), while 37 (49%) children had non-surgical treatment. HRQoL was measured with the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD).
resultsEighteen children (47%) had postoperative complications; 5 of 38 (13%) children underwent further surgery. Surgical treatment improved sitting posture and back pain. The mean CPCHILD score was 49.0 (range = 19-84). Among non-surgically treated children, 15 of the 31 children considered too fragile to undergo spinal surgery (48%) died during the follow-up; the mean CPCHILD score for the remaining children was 36.4 points (range = 9-59).
interpretationAlthough surgical correction of scoliosis in non-ambulatory children with CP carried a high risk of complications and re-operations, it resulted in improved sitting posture and reduced back pain. Children who were not eligible for surgical treatment had a high mortality rate.
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