Scoliosis in cerebral palsy: An overview and recent results

The natural history of scoliosis in cerebral palsy as well as the treatment s that include observation, bracing, and surgery are reviewed. if surgery i s indicated, a careful preoperative evaluation is essential, focusing espec ially on the patient's nutritional, gastrointestinal, neurologic, and ortho pedic systems. Intraoperative and perioperative issues such as blood loss c ontrol are reviewed. The Luque-Galveston method of instrumentation for scol iosis secondary to cerebral palsy is our preferred method of treatment. Our recent results compare favorably with the literature with fewer complicati ons.