What is included in patient education about spinal muscle atrophy (SMA)?

Updated: Nov 05, 2018
  • Author: Ashish S Ranade, MBBS, MS, MRCS; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Prenatal diagnosis in the first trimester and proper genetic counseling are possible with DNA analysis. This enables more accurate carrier detection. [22] Not all parents of children with SMA are obligate carriers. [23]  Carrier testing is important for reproductive decision-making. Approximately 3% of cases are sporadic.

A potential medicolegal pitfall is poor counseling of parents and patients regarding possible complications before surgical treatment. These patients lose function after spinal stabilization, and their ability to ambulate may be hindered. The possibility of recurrence or worsening of the hip dislocation must be emphasized; the risk of recurrent deformity is present even with foot and ankle procedures.


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