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The role of spine surgery in the care of SMA patients


Authors: M. Barna;  J. Štulík
Authors‘ workplace: Klinika spondylochirurgie 1. LF UK a FN Motol, Praha
Published in: Cesk Slov Neurol N 2020; 83/116(Supplementum 2): 41-44
doi: https://doi.org/10.48095/cccsnn20202S41

Overview

Spine surgery care in patients with spinal muscular atrophy is a minor, but important part of a complex interdisciplinary collaboration.  Spine surgeon plays a crucial role in the decision about conservative or surgical therapy of scoliotic deformities, ensures regular medical care of patients with spinal muscular atrophy, including the access to appropriate orthopedic aid equipment. The most difficult task is the correct recognition of the onset of scoliotic curve progression and optimal timing of surgery. The most important role of spine surgeon is high quality surgery resulting in a permanent correction of scoliotic curve with a satisfactory clinical and radiological state. The individual care plan is unique for each patient and is provided by highly skilled and specialized professionals. 

Keywords:

spinal muscular atrophy – scoliosis – spine surgery


Sources

1. Haberlova J, Slabá A, Hedvičáková P et al. Spinální svalová atrofie – dia­gnostika, léčba, výzkum. Neurol Praxi 2016; 17(6): 349–353.

2. Repko M et al. Neuromuksulární deformity páteře. 1. vyd. Praha: Galén 2008.

3. Vialle R, Thévenin-Lemoine C, Mary P. Neuromuscular scoliosis. Orthop Traumatol Surg Res 2013; 99 (1 Suppl): S124–S139. doi: 10.1016/ j.otsr.2012.11.002.

4. Mullender M, Blom N, De Kleuver M et al. A Dutch guideline for the treatment of scoliosis in neuromuscular disorders. Scoliosis 2008; 3: 14. doi: 10.1186/ 1748-7161-3-14.

5. Catteruccia M, Vuillerot C, Vaugier I et al. Orthopedic management of scoliosis by garches brace and spinal fusion in SMA type 2 children. J Neuromuscul Dis 2015; 2(4): 453–462. doi: 10.3233/ JND-150084.

6. Fujak A, Ingenhorst A, Heuser K et al. Treatment of scoliosis in intermediate spinal muscular atrophy (SMA type II) in childhood. Ortop Traumatol Rehabil 2005; 7(2): 175–179.

7. Chandran S, McCarthy J, Noonan K et al. Early treatment of scoliosis with growing rods in children with severe spinal muscular atrophy: a preliminary report. J Pediatr Orthop 2011; 31(4): 450–454. doi: 10.1097/ BPO.0b013e31821722b1.

8. Lorenz HM, Badwan B, Hecker MM et al. Magnetically controlled devices parallel to the spine in children with spinal muscular atrophy. JB JS Open Access 2017; 2(4): e0036. doi: 10.2106/ JBJS.OA.17.00036.

9. Lenhart RL, Youlo S, Schroth MK et al. Radiographic and respiratory effects of growing rods in children with spinal muscular atrophy. J Pediatr Orthop 2017; 37(8): e500–e504. doi: 10.1097/ BPO.0000000000000867.

10. McElroy MJ, Shaner AC, Crawford TO et al. Growing rods for scoliosis in spinal muscular atrophy: structural effects, complications, and hospital stays. Spine (Phila Pa 1976) 2011; 36(16): 1305–1311. doi: 10.1097/ BRS.0b013e3182194937.

11. Aprin H, Bowen JR, MacEwen GD et al. Spine fusion in patients with spinal muscular atrophy. J Bone Joint Surg Am 1982; 64(8): 1179–1187.

12. Holt JB, Dolan LA, Weinstein SL. Outcomes of Primary posterior spinal fusion for scoliosis in spinal muscular atrophy: clinical, radiographic, and pulmonary outcomes and complications. J Pediatr Orthop 2017; 37(8): e505–e511. doi: 10.1097/ BPO.0000000000001049.

13. Jonas J, Durila M, Malosek M et al. Usefulness of perioperative rotational thrombelastometry during scoliosis Sumery in children. J Neurosurg Spine 2020; 24: 1–6. doi: 10.3171/ 2019.11.SPINE191137.

14. Ko D, Blatt D, Karam C et al. Lumbar laminotomy for the intrathecal administration of nusinersen for spinal muscular atrophy: technical note and outcomes. J Neurosurg Spine 2019; 19: 1–5. doi: 10.3171/ 2019.2.SPINE181366.

15. Weaver JJ, Natarajan N, Shaw DW et al. Transforaminal intrathecal delivery of nusinersen using cone-beam computed tomography for children with spinal muscular atrophy and extensive surgical instrumentation: early results of technical success and safety. Pediatr Radiol 2018; 48(3): 392–397. doi: 10.1007/ s00247-017-4031-6.

Labels
Paediatric neurology Neurosurgery Neurology
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