Selection of Duchenne Muscular Dystrophy Patients for Spinal Surgery in Great Ormond Street Hospital. Have We Got It Right?

BACKGROUND: Children with Duchenne muscular dystrophy (DMD) develop progressive weakness, loss of ambulation and worsening spinal deformity, which can lead to pain, deteriorating respiratory function and quality of life. It remains controversial whether spinal surgery has benefits on delaying progression of respiratory dysfunction, on survival and whether these outweigh the recognised perioperative complications.

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