What is included in long-term monitoring of spinal muscle atrophy (SMA)?

Updated: Aug 11, 2020
  • Author: Ashish S Ranade, MBBS, MS, MRCS; Chief Editor: Jeffrey A Goldstein, MD  more...
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Pediatric patients with SMA must be monitored periodically by a pediatric orthopedic surgeon to assess their nutritional status and their spine and hips, as well as to evaluate for contracture development. (See the image below.)

Spinal muscle atrophy. Follow-up radiographs in pa Spinal muscle atrophy. Follow-up radiographs in patient at age 13 years reveal some spinal decompensation. Note so-called coathanger appearance of ribs in dysplastic right hemithorax.

Physical therapy is useful for joint contracture prevention and stretching. Occupational therapy is useful for adaptive equipment for ADLs.

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