Assessment of bone density in patients with scoliosis neuromuscular secondary to cerebral palsy

Avaliação da densidade óssea em pacientes com escoliose neuromuscular secundária à paralisia cerebral

Evaluación de la densidad ósea en pacientes con escoliosis neuromuscular secundaria para parálisis cerebral

OBJECTIVE:

To evaluate bone mineral density in patients with neuromuscular scoliosis secondary to spastic quadriplegic cerebral palsy.

METHODS:

A prospective descriptive study in which, in addition to bone densitometry, the anthropometric data of the patients were assessed. As inclusion criterion we adopted patients with spastic quadriplegic cerebral palsy, wheelchair users, aged between 10 and 20 years and with neuromuscular scoliosis.

RESULTS:

We evaluated 31 patients, 20 female, whose average age was 14.2 years. The mean bone density was -3.2 standard deviation (Z-score), with mean biceps circumference of 19.4 cm, calf circumference 18.6 cm and BMI of 13.6 kg/m².

CONCLUSION:

There is a high incidence of osteoporosis in patients with neuromuscular scoliosis secondary to spastic quadriplegic cerebral palsy.

Scoliosis; Neuromuscular diseases; Osteoporosis