Spinal fusion is used to treat @entity1635 in @entity1 with @entity306 ( @entity306 ). Following intervention, the WHO considers activity and participation should be assessed to guide intervention and assess the effects. This study assesses whether spinal fusion for @entity1635 improves activity and participation for @entity1 with severe @entity306 .Retrospective cohort study of 70 @entity1 (39M:31F) with GMFCS level 4/5 @entity306 and significant @entity1635 . Thirty-six underwent observational and/or brace treatment as the sole treatment for their @entity1635 , and 34 underwent surgery. @entity1 in the operative group were older and had worse @entity1635 than those in the observational group. Questionnaire and radiographic data were recorded over a 2-year period. The ASKp was used to measure activity and participation.In the observational group, Cobb angle and @entity530 increased from 51 (40-90) and 10 (0-30) to 70 (43-111) and 14 (0-37). Mean ASKp decreased from 16.3 (1-38) to 14.2 (1-36). In the operative group, Cobb angle and @entity530 decreased from 81 (50-131) and 14 (1-35) to 38 (10-76) and 9 (0-24). Mean ASKp increased from 10.5 (0-29) to 15.9 (3-38). Spinal-related @entity158 correlated most with change in activity and participation in both groups. There was no difference in mobility, GMFCS level, feeding or communication in either group before and after treatment.In @entity1 with significant @entity1635 and @entity306 classified within GMFCS levels 4 and 5, spinal fusion was associated with an improvement in activity and participation, whereas nonoperative treatment was associated with a small reduction. @entity158 should be carefully assessed to guide intervention.

Does Spinal Fusion and Scoliosis Correction Improve Activity and Participation for XXXX With GMFCS level 4 and 5 @entity306 ?

@entity1 :: ('9606', 'Species') :: ['children', 'Children'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['scoliosis'] @entity530 :: ('MESH:D010386', 'Disease') :: ['pelvic obliquity'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy', 'CP']
@entity1 :: (9606,Species) :: ['Children']
