28 Jul Did you know that children with Cerebral Palsy should have an annual spine X-Ray to monitor for scoliosis? Have you not done an annual spine X-Ray for your child with Cerebral palsy because you think that they don’t need it?

Children with cerebral palsy are at a higher risk of developing scoliosis, with scoliosis occurring at younger ages in individuals classified at a higher GMFCS level. In addition, the incidence of scoliosis continues to increase up to the age of 20–25 years. As such, routine Spine Surveillance is essential for early detection and timely intervention to prevent or manage the progression of spinal curvature.

The Spine surveillance process typically involves the following components:
1. Regular Clinical Assessments: ‍⚕️Peadiatricians, Orthopeadic specialists, or Physiotherapists, perform regular clinical examinations to evaluate the alignment of the spine, look for signs of asymmetry, and assess muscle tone and strength, which can impact spinal stability.
2. X-rays and Radiological Evaluation: X-rays are often used to obtain a clearer picture of the spine’s alignment and curvature. The frequency of X-rays will depend on the severity of the cerebral palsy, the presence of scoliosis or other spinal issues, and the Orthopeadic specialist’s recommendations.
3. Implementing Preventive Measures: ‍⚕️Paediatric Physiotherapists will recommend various strategies like dynamic garment orthosis, strengthening exercises, or rigid bracing to help stabilise the spine and prevent scoliosis from worsening.
4. Referral for Specialised Care: If significant spinal deformities are detected or if conservative treatments are not sufficient, children with cerebral palsy will be referred to Scoliosis Clinic for further evaluation and possible surgical intervention.‍⚕️

So if you have a child with Cerebral Palsy and you have concerns about their spinal development, reach out to My Favourite Physio on (02) 9790 4233 or DM us @myfavouritephysio to speak to one of our Expert Paediatric Physiotherapists today!

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