Dutch Guidelines for Scoliosis Treatment in Neuromuscular Disorders
Author Information
Author(s): Mullender MG, Blom NA, De Kleuver M, Fock JM, Hitters WMGC, Horemans AMC, Kalkman CJ, Pruijs JEH, Timmer RR, Titarsolej PJ, Van Haasteren NC, Jager MJ Van Tol-de, Van Vught AJ, Van Royen BJ
Primary Institution: Vrije Universiteit Medical Center (VUmc), Amsterdam, The Netherlands
Hypothesis
Can a multidisciplinary guideline improve the treatment of scoliosis in patients with neuromuscular disorders?
Conclusion
A Dutch guideline has been developed to optimize the treatment for scoliosis in neuromuscular disorders.
Supporting Evidence
- Severe scoliosis can compromise respiratory function and sitting balance.
- Spinal surgery is the primary treatment for severe scoliosis in neuromuscular disorders.
- Consensus was reached on management despite limited scientific evidence.
Takeaway
Doctors in the Netherlands have created a set of rules to help treat kids with muscle problems who have curved spines, making sure everyone works together.
Methodology
The guideline is based on scientific evidence and expert opinions, developed by a multidisciplinary working group.
Potential Biases
Potential bias due to reliance on expert opinions and non-randomized studies.
Limitations
Scientific evidence for treatment options is scarce, primarily consisting of low-level cohort studies.
Participant Demographics
The guideline targets children with neuromuscular disorders like Duchenne Muscular Dystrophy and Spinal Muscular Atrophy.
Digital Object Identifier (DOI)
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