Bone mineral density evaluation among patients with neuromuscular scoliosis secondary to cerebral palsy

Rodrigo Rezende, Igor Machado Cardoso, Rayana Bomfim Leonel, Larissa Grobério Lopes Perim, Tarcísio Guimarães Silva Oliveira, Charbel Jacob Júnior, José Lucas Batista Júnior, Rafael Burgomeister Lourenço

To evaluate bone mineral density among patients with neuromuscular scoliosis secondary to quadriplegic cerebral palsy. This was a descriptive prospective study in which both bone densitometric and anthropometric data were evaluated. The inclusion criteria used were that the patients should present quadriplegic cerebral palsy, be confined to a wheelchair, be between 10 and 20 years of age and present neuromuscular scoliosis. We evaluated 31 patients (20 females) with a mean age of 14.2 years. Their mean biceps circumference, calf circumference and body mass index were 19.4 cm, 18.6 cm and 16.9 kg/m(2), respectively. The mean standard deviation from bone densitometry was -3.2 (z-score), which characterizes osteoporosis. There is high incidence of osteoporosis in patients with neuromuscular scoliosis secondary to quadriplegic cerebral palsy.