List the goals of surgical treatment for neuromuscular spinal deformities

• Prevent curve progression

• Correct spinal deformities safely

• Obtain a solid arthrodesis

• Balance the spine in the coronal and sagittal planes above a level pelvis

• Correct pelvic obliquity

• Prevent progressive respiratory compromise due to increasing spinal deformity

• Optimize functional ability (e.g. permit the patient to sit without using the arms for trunk support)

• Decrease trunk fatigue and pain. Fatigue is associated with maintaining an upright posture in the presence of severe spinal deformity. Pain may result from facet arthrosis or impingement of the ribs on the pelvis in severe deformities

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