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- Title
Incidence and sequence of scoliosis and windswept hip deformity: which comes first in 4148 children with cerebral palsy? A longitudinal cohort study.
- Authors
Casey, Jackie; Rosenblad, Andreas; Agustsson, Atli; Lauge-Pedersen, Henrik; Rodby-Bousquet, Elisabet
- Abstract
Background: The aim was to analyse whether scoliosis or windswept hip deformity (WSH) occurs first for children with cerebral palsy (CP). Methods: This longitudinal cohort study using data from 1994 − 2020 (26 years) involved 41,600 measurements of 4148 children (2419 [58.3%] boys) with CP born 1990 − 2018 and registered into the Swedish CP follow-up program. Children were followed from a mean age of 2.8 [SD 1.4] years, until they developed either scoliosis or WSH or were removed at surgery. Results: WSH developed first in 16.6% of the children (mean age 8.1 [SD 5.0] years), and scoliosis in 8.1% (mean age 8.1 [SD 4.9] years). The incidence of WSH was higher than scoliosis across all levels I–V of the Gross Motor Function Classification System (GMFCS), both sexes, and for those with dyskinetic (20.0%) or spastic (17.0%) CP. The incidence of scoliosis was highest (19.8%) and developed earliest in children with GMFCS level V (mean age 5.5 [SD 3.5] years), and in children with dyskinetic (17.9%) CP (mean age 7.0 [SD 4.7] years). Conclusions: WSH presents earlier than scoliosis in most children with CP. Children with higher GMFCS level or dyskinetic CP are more likely to develop these deformities at a younger age.
- Subjects
CHILDREN with cerebral palsy; SCOLIOSIS; SCOLIOSIS in children; COHORT analysis; LONGITUDINAL method; ADOLESCENT idiopathic scoliosis; DROOLING
- Publication
BMC Musculoskeletal Disorders, 2024, Vol 25, Issue 1, p1
- ISSN
1471-2474
- Publication type
Article
- DOI
10.1186/s12891-024-07350-z