Narrative review describing the epidemiology, curve patterns by arthrogrypotic subtype, and age-stratified treatment algorithm for scoliosis in children with arthrogryposis multiplex congenita — from Mehta casting in infancy through expandable implants to definitive fusion.
When you see an AMC child with a progressive infantile curve, remember that casting buys time but rarely cures — plan for expandable implants after age 5, and always assess hip contractures before committing to spinal fusion, since correcting pelvic alignment can eliminate the ability to sit if hip extension contractures are unaddressed.
Narrative review describing the epidemiology, curve patterns by arthrogrypotic subtype, and age-stratified treatment algorithm for scoliosis in children with arthrogryposis multiplex congenita — from Mehta casting in infancy through expandable implants to definitive fusion.
When you see an AMC child with a progressive infantile curve, remember that casting buys time but rarely cures — plan for expandable implants after age 5, and always assess hip contractures before committing to spinal fusion, since correcting pelvic alignment can eliminate the ability to sit if hip extension contractures are unaddressed.