Letters Adolescent idiopathic scoliosis

Management of scoliosis in children with respiratory complications of neurological illness

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3392 (Published 28 May 2013) Cite this as: BMJ 2013;346:f3392
  1. Rachel Toone, specialist trainee year 2 in paediatrics1,
  2. Ian Sinha, SpR in paediatric respiratory medicine2,
  3. Sarah Mayell, consultant in paediatric respiratory medicine2
  1. 1Royal Manchester Children’s Hospital, Manchester M13 9WL, UK
  2. 2Respiratory Department, Alder Hey Children’s Hospital, Liverpool L12 2AP, UK
  1. racheltoone{at}doctors.org.uk

Altaf and colleagues’ comprehensive article on the management of adolescent idiopathic scoliosis has prompted us to share our experience of treating children with respiratory complications of neurological illness, who commonly have scoliosis.1

The same neuromuscular dysfunction that causes respiratory compromise (such as muscle weakness causing decreased lung function, poor cough, impaired airway clearance, and recurrent pneumonia) often contributes to scoliosis, particularly in non-ambulatory children. Children with scoliosis of any cause can have decreased pulmonary function owing to impaired respiratory …

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