Fast Five Quiz: Are You Prepared to Manage Spinal Muscular Atrophy?

Stephen L. Nelson, Jr, MD, PhD

Disclosures

May 16, 2019

Supracondylar femur and ankle fractures are most common in SMA type II. In contrast, upper-extremity fractures are most common in SMA type III.

Similar to scoliosis management, fracture interventions should be managed on the basis of the patient's mobility status. Whereas nonwalking patients are best managed nonoperatively, osteosynthesis is preferred in walking patients to preserve mobility. As previously noted, adequate nutritional intake of calcium and vitamin D can reduce risk for fracture.

For more on fracture management in patients with SMA, read here.

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