Article

Scoliosis is a frequently occurring and serious complication of severe
cerebral palsy (CP). This systematic review aims to the assess the risk factors
associated with the emergence and progression of scoliosis in children with CP
functioning at level IV or V of the Gross Motor Function Classification System
(GMFCS). METHOD: Relevant studies conducted from 1966 to March 2009 were
identified in Embase, Medline, and Scopus. The methodological quality of the
studies was assessed and relations between risk factors and scoliosis were
documented systematically. RESULTS: Ten studies were included. They had a low
level of evidence and heterogeneous methodological quality. No systematic
associations were found between type of CP and scoliosis or between age, type,
and location of scoliotic curve and progression of scoliosis. Weak evidence was
present for an association between the severity of CP, hip dislocation, and
pelvic obliquity and scoliosis. INTERPRETATION: The low level of evidence
precludes the drawing of firm conclusions on risk factors for the emergence and
progression of scoliosis in children with severe CP. However, given the high
prevalence of the disorder and its serious consequences for daily life, more
research in this area is urgently needed.

Langue : ANGLAIS