{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:48:45Z","timestamp":1791640125509,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate medium\u2010term surgical outcomes, complications, mortality, and health\u2010related quality of life (HRQoL) in non\u2010ambulatory children with cerebral palsy (CP) and severe scoliosis, and to analyse outcomes and mortality rates in children who had not undergone surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data on non\u2010ambulatory children with CP and severe scoliosis born from 2002 to 2008 were extracted from the Norwegian Quality and Surveillance Registry for Cerebral Palsy. Seventy\u2010five children (44 males, 31 females) were included. Thirty\u2010eight (51%; mean age at surgery 14\u2009years 4\u2009months; SD\u2009=\u20092\u2009years 4\u2009months; range\u2009=\u20098\u201318\u2009years) underwent surgical correction and posterior spinal fusion, with a mean preoperative Cobb angle of 90\u00b0 (range\u2009=\u200949\u00b0\u2013140\u00b0), while 37 (49%) children had non\u2010surgical treatment. HRQoL was measured with the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen children (47%) had postoperative complications; 5 of 38 (13%) children underwent further surgery. Surgical treatment improved sitting posture and back pain. The mean CPCHILD score was 49.0 (range\u2009=\u200919\u201384). Among non\u2010surgically treated children, 15 of the 31 children considered too fragile to undergo spinal surgery (48%) died during the follow\u2010up; the mean CPCHILD score for the remaining children was 36.4 points (range\u2009=\u20099\u201359).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Although surgical correction of scoliosis in non\u2010ambulatory children with CP carried a high risk of complications and re\u2010operations, it resulted in improved sitting posture and reduced back pain. Children who were not eligible for surgical treatment had a high mortality rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.16473","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T06:25:34Z","timestamp":1755757534000},"page":"681-687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical and health outcomes of non\u2010ambulatory children with cerebral palsy and severe scoliosis: A population\u2010based, longitudinal study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5594-6483","authenticated-orcid":false,"given":"Svend","family":"Vinje","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terje","family":"Terjesen","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Horn","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7486-7454","authenticated-orcid":false,"given":"Sandra Julsen","family":"Hollung","sequence":"additional","affiliation":[{"name":"Norwegian Quality and Surveillance Registry for Cerebral Palsy, Vestfold Hospital Trust  T\u00f8nsberg Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kibsg\u00e5rd","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo 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