Description
In this detailed lecture, Jonathan Spilsbury discusses the complex nature of neuromuscular scoliosis and its treatment within spinal surgery. He emphasizes the need for greater awareness and understanding of conditions that affect this often-overlooked patient population, particularly as advancements in medical treatments allow more children with neuromuscular disorders to survive into adulthood. Throughout the lecture, he highlights the importance of proper communication with patients, many of whom have difficulty expressing their needs due to their conditions. Spilsbury outlines various syndromes affecting spinal health, such as muscular dystrophy, spinal muscular atrophy, and cerebral palsy, while stressing the necessity of individualized treatment plans. He details conservative treatment options, the criteria for surgical intervention, and the specific surgeries employed, such as posterior instrumentation and growing rods. Spilsbury also covers the importance of monitoring during surgeries and the challenges posed by higher complication rates in neuromuscular cases. He concludes by reaffirming the goal of improving the quality of life for patients rather than extending lifespan, insisting on interdisciplinary cooperation when planning surgeries. Overall, the lecture serves as both an educational tool and a call to value the needs of a vulnerable group within the healthcare system.
DOI: 10.1302/3114-230347