Neuromuscular Scoliosis Clinical Presentation

Updated: Feb 14, 2019
  • Author: Matthew B Dobbs, MD; Chief Editor: Jeffrey A Goldstein, MD  more...
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Presentation

History and Physical Examination

Evaluation of a patient with neuromuscular scoliosis entails a thorough assessment of all body systems. Accurate diagnosis of the underlying disease entity is essential and may require muscle biopsy.

Assessing nutritional status and pulmonary function is extremely important. The child's caregivers should be interviewed to gain an appreciation of the patient's functional level. The orthopedic examination includes assessment of all extremities and joints for contractures. [4]  Spinal deformity, decompensation, and shoulder balance are documented. Ambulatory status is also evaluated, and patients are classified as walkers, sitters, or nonsitters.