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1010 CARE Group

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Jack Parker
Jack Parker

Dogar Surgery 236.epub LINK

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Dogar Surgery 236.epub

Some families may consider surgery for their child. Common surgeries for children with DMD include foot surgery, insertion of a feeding tube, and spinal surgeries to correct scoliosis, which may occur from being wheelchair dependent[26]. There are many facts to consider before surgery, such as the effect general anaesthesia has on the cardiac and respiratory systems, which are already compromised in children with DMD[27]. Families need to weigh the advantages of the surgery with the risk before making a decision. For example, evidence has been found that surgery to correct scoliosis has improved respiratory function[28], and it also improves the cosmetic appearance and comfort of the child. [29]

Scoliosis can occur due to muscle weakness. Usually this happens at the beginning of the second decade of life, after the patient has lost ambulation[46]. Scoliosis can cause discomfort and is detrimental for posture and breathing. A spinal brace or spinal surgery are the recommended interventions. Surgery has been shown to improve function and quality of life[47]. Surgery should be done while the patient still has sufficient lung function and before cardiomyopathy becomes a major risk factor when putting the patient under anaesthesia[46]


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